WorldWideScience

Sample records for molar deciduo inferior

  1. The sealing of second mandibular temporary molar pits and fissure with the laser of Nd: YAG, phosphoric acid and the glass ionomer cement; Selamento de fossulas e fissura de segundo molar deciduo inferior com laser de Nd: YAG, acido fosforico e cimento de ionomero de vidro

    Toda, Maria Aparecida

    2003-07-01

    The main of our study was to check the sealing of second mandibular temporary molar pits and fissure, in vitro, with the laser of Nd: YAG, phosphoric acid at 37% and the glass ionomer cement (CIV, Fuji IX GC).The proposal was to check the structural morphologic changes in the laser irradiation upon the enamel surface to watch the pits and fissure sealing with the glass ionomer cement use after the laser irradiation and to verify the efficiency of the 'double conditioning' (phosphoric acid + Nd: YAG). At the same time we watch the evolution of the temperature in the pulp chamber's inside. Our desire was to achieve a therapeutic alternative technic to prevent the dental caries. The Nd: YAG laser parameters were the same: 79 mJ of energy per pulse; frequency of 5 Hz; mean power of 0,4 W; optical fiber on contact of 320 {mu}m diameter; fluency of 99,52 J/ cm{sup 2}, assuming that the only differential was the time of the laser application on the enamel surface. The samples were prepared with this way: Laser Nd: YAG (53 second) + acid + CIV (Fuji IX); Laser Nd: YAG (53 s); Laser Nd: YAG (20 s + 20 s) + acid + CIV; Laser Nd: YAG (20 s + 20 s); Acid + CIV; Control. Through the scanning electron microscopy (MEV) we noticed fusion and resolidification regions due to the laser irradiation and a better adaptation of the glass ionomer cement when we did the 'double conditioning'. Concerning the temperature increase we can conclude that the echeloned period was the best recommended because the temperature was found in a pattern that would not cause any damage to the dental pulp. For future studies we suggest a longer relaxing time between the laser irradiation, a comparative study of this method with other lasers, the use of other sealing materials and the study with the permanent teeth. (author)

  2. Efficiency of Intraligamentary Anesthesia of Inferior Molars for Endodontic Treatment

    Peycheva K.

    2014-01-01

    The periodontal ligament injection appears to be the most consistently reliable in achieving clinically adequate pulpal anaesthesia. Materials and Methods: 130 inferior molar teeth; technique: The tooth was first cleaned with chlorhexidine 0.2% solution. The penetration of the ligament is performed with special intraligamentary needle (30 G - 9, 17,21 mm) “sliding” along the side of the tooth, 300º angle between the needle and the tooth, having taken the care of determining support points whi...

  3. Efficiency of Intraligamentary Anesthesia of Inferior Molars for Endodontic Treatment

    Peycheva K.

    2014-12-01

    Full Text Available The periodontal ligament injection appears to be the most consistently reliable in achieving clinically adequate pulpal anaesthesia. Materials and Methods: 130 inferior molar teeth; technique: The tooth was first cleaned with chlorhexidine 0.2% solution. The penetration of the ligament is performed with special intraligamentary needle (30 G - 9, 17,21 mm “sliding” along the side of the tooth, 300º angle between the needle and the tooth, having taken the care of determining support points which will prevent the needle from twisting. The penetration must be deep enough to obtain the seal required for the injection, injection for each root in particular points; volume of solution per root is 0.2-0.4 ml. Results: In 125 cases the technique was absolutely efficient. In only 5 cases with pulpitis chronica ulcerosa there was need for additional intrapulpal anesthesia. Conclusions: The method could be used as a primary anesthetic method for endodontic treatment.

  4. Lower Third Molar Region Región del Tercer Molar Inferior

    Iván Suazo Galdames

    2012-01-01

    The lower third molar region is an important region for the odontostomatological practice, since it presents a great amount of pathological processes related to the development and eruption of the third molar; thus having a considerable number of surgical interventions. Despite its importance, this region is not accounted for in anatomical terminology nor is it described in topographic anatomy; and in spite of the great number of studies that analyze the surgical anatomy of the region, it is ...

  5. M ocluso de Classe I com biprotruso e ausncia dos primeiros molares inferiores Angle Class I malocclusion with bimaxillary dental protrusion and missing mandibular first molars

    Aldino Puppin Filho

    2011-01-01

    O presente relato de caso descreve o tratamento ortodntico de uma paciente de 24 anos de idade, portadora de m ocluso de Classe I de Angle, com protruso dos incisivos superiores e inferiores, alm de perda recente dos primeiros molares inferiores. O tratamento idealizado envolveu a exodontia dos primeiros pr-molares superiores, aliada ao fechamento dos espaos presentes na arcada inferior. O resultado obtido demonstra a necessidade de planos de tratamento individualizados e a importncia...

  6. Evolucin clnica de la pericoronaritis en terceros molares inferiores semirretenidos Clinical evolution of pericoronitis in the third inferior semi-retained molars

    Felicia C Morejn lvarez

    2010-06-01

    Full Text Available Se realiz un estudio longitudinal, prospectivo, analtico y descriptivo, con el objetivo de determinar la evolucin clnica de la pericoronaritis en terceros molares inferiores semirretenidos, patologa que aqueja a un porciento elevado de la poblacin, siendo importante su diagnstico y tratamiento oportuno. Esta investigacin se desarroll en el Hospital General Docente Abel Santamara Cuadrado, durante el perodo comprendido de enero a octubre de 2009. La muestra estuvo compuesta por 52 pacientes que asistieron a la consulta de ciruga maxilofacial, por presentar sntomas y signos clnicos propios de la pericoronaritis. Para el anlisis estadstico se utilizaron como principales medidas los nmeros absolutos y relativos, y las pruebas no paramtricas de ji cuadrado; se tom como nivel de significacin -0,005. En los pacientes con pericoronaritis de terceros molares inferiores semirretenidos, la forma serosa fue la ms frecuente con un 48%, siendo el dolor moderado el sntoma clnico de mayor incidencia en esta pericoronaritis, no as en la forma supurada, que en el 42,3% exista un dolor severo. Como otros sntomas clnicos presentes, surgieron la inflamacin y enrojecimiento del tejido pericoronario en el 100% de los casos, seguido del trismo en un 86,53% y la presencia de pus en un 22%, que se hicieron ms notables en la forma supurada de la pericoronaritis.A longitudinal, prospective, analytic and descriptive study was conducted aimed at determining the clinical evolution of pericoronitis in the third inferior semi-retained molars, a pathology that affects a high percent of the population, where the diagnosis and appropriate treatment is very important. This research was carried out from January to October 2009 at "Abel Santamaria Cuadrado" University Hospital. The sample was comprised of 52 patients attending to the oral offices presenting clinical signs and symptoms of pericoronitis. Absolute and relative numbers, parametric chi-square test and the level of significance - 0,005 were used to perform the statistical analysis. In patients presenting pericoronitis in the third inferior semi-retained molars were found: the serous form that was the most frequent with 48%, being the moderate pain the clinical symptoms that showed the highest incidence in this pericoronitis, that differed from the suppurated which presented 42,3% of severe pain. Other clinical symptoms suggested inflammation and flare of the pericoronary tissue in 100% of the cases, followed by trismus in 86, 53% and the presence of pus (22%, which were more notable in the suppurated form of pericoronitis.

  7. Movimentao de molares inferiores ancorados em mini-parafusos Mandibular molar uprighting, using mini-screw as anchorage

    Rosana Canteras Di Matteo

    2005-08-01

    Full Text Available Freqentemente a movimentao ortodntica exige recursos adicionais de ancoragem. Os mini-parafusos tm-se apresentado como uma possvel soluo. O propsito deste trabalho foi estabelecer um mtodo para a verticalizao de molares inferiores inclinados para mesial, utilizando ancoragem em mini-parafusos colocados na regio de linha oblqa externa da mandbula. Foram selecionados trs pacientes entre 40 a 48 anos (dois do gnero feminino, um do gnero masculino, com molares inferiores inclinados para mesial e distalmente posicionados s reas edntulas. Os pacientes foram tratados ortodonticamente durante um perodo de 6 a 12 meses, com tcnica ortodntica MD3. Mini-parafusos de titnio foram colocados bilateralmente com anestesia local. Uma inciso sobre a linha oblqa externa da mandbula, medindo aproximadamente 1 cm foi realizada em cada lado, distalmente aos molares inclinados. Aps descolamento muco-periosteal, mini-parafusos foram implantados e foram realizadas suturas deixando suas cabeas exteriorizadas. Uma semana aps a remoo das suturas, cargas ortodnticas (entre 150 a 200 gramas/fora foram aplicadas atravs de foras elsticas. Verificamos que alguma inflamao foi observada ao redor dos mini-parafusos, mas foi controlada com procedimentos de higienizao. O procedimento cirrgico simples, podendo ser realizado pelo ortodontista; as formas dimensionais dos mini-parafusos so adequadas e estes so de fcil remoo aps uso. Conclumos que o uso de mini-parafusos representa uma alternativa efetiva de ancoragem ortodntica na verticalizao de molares inferiores.Tooth movement frequently requires additional anchorage resources. Mini-screws have been used as a possible solution to this matter. The purpose of this study was to establish a method of mandibular molar uprighting, using mini-screw as anchorage, positioned on the mandibular external oblique line, behind and posterior to the tooth. Three pacients with ages between 40 and 48 years old (two females and one male were selected. The three of them presented mesially tipped molars, positioned posterior to the edentulous areas, on both sides of the mandible. These patients received orthodontic treatment during a period of 6 and 12 months with the MD3 technique. Titanium mini-screws were positioned bilaterally, under local anesthesia. One incision with 1 cm was done in each side of the mandibular external oblique line, distally to the tipped molars. After that, the mini-screws were positioned and sutures were done, leaving the mini-screws heads exposed. After one week, orthodontic loads (between 150 and 200 grams/force were applied to the mini-screws through elastics. A certain degree of inflammation around the mini-screws was noticed, but it was controlled by hygienic procedure. This surgery procedure was simple and could be done easily by the orthodontist. The dimensions and shapes of the mini-screws proved to be appropriate and their removal after the orthodontic movement were done without difficulty. The result was time reduction on the molars uprighting, without side effects on the others teeth. The use of mini-screws seems to be a good alternative for an effective orthodontic anchorage on the uprighting mandibular molars.

  8. Avaliação ortopantomográfica das angulações mesiodistais de caninos, pré-molares e molares inferiores com e sem a presença dos terceiros molares Panoramic evaluation of the mesiodistal angulations of canine teeth, premolar and inferior molars with and without the presence of the third molars

    Rodrigo Castellazzi Sella

    2009-12-01

    Full Text Available OBJETIVOS: comparar os valores médios normais das angulações mesiodistais dentárias, propostos por Ursi, em 1989, com as angulações mesiodistais de caninos, pré-molares e molares inferiores em indivíduos com e sem a presença dos terceiros molares inferiores e idades entre 18 e 25 anos. Além disso, foram comparados os valores das angulações mesiodistais desses dentes nessas duas situações. MÉTODOS: foram utilizadas 40 radiografias ortopantomográficas de indivíduos, de ambos os gêneros, que não receberam tratamento ortodôntico, divididos em dois grupos: Grupo I, constituído por 20 radiografias que não apresentavam os terceiros molares inferiores; e Grupo II, formado por 20 radiografias com os terceiros molares inferiores presentes. RESULTADOS E CONCLUSÕES: a análise dos resultados e a análise estatística permitiram concluir que ambos os grupos exibiram pré-molares e molares inferiores mais angulados em sentido mesial, quando comparados à oclusão normal. Por outro lado, a angulação mesiodistal de caninos inferiores mostrou-se semelhante àquela apresentada em casos de oclusão normal. Os dois grupos, quando comparados entre si, exibiram semelhantes valores angulares dos caninos, pré-molares e molares inferiores, de modo que a presença dos terceiros molares não exerceu influência sobre essas angulações mesiodistais dentárias.AIM: To compare the normal mean values of the mesiodistal axial angulation, proposed by Ursi in 1989, with the mesiodistal axial angulation of canine teeth, premolar and inferior molars in individuals with and without the presence of the third inferior molars and ages between 18 and 25 years. Besides, the values of the mesiodistal axial angulation of these teeth were compared in these two situations. METHODS: Forty panoramic x-rays were used from individuals of both genders that didn't receive orthodontic treatment, divided in two groups: Group I, constituted by 20 x-rays that didn't present the third inferior molars, and Group II, formed by 20 x-rays with the presence of the third inferior molars. RESULTS AND CONCLUSIONS: The results analysis and the statistical analysis allowed to conclude that both Groups exhibited inferior premolar and molars more angled in mesial direction when compared to the normal occlusion. On the other hand, the mesiodistal axial angulation of inferior canine teeth was similar to the presented in cases of normal occlusion. The two groups, when compared amongst themselves, exhibited similar angular values of the canine teeth, premolar and inferior molars, so that the presence of the third molars didn't exercise influence on these dental angulations.

  9. [Mandibular third molar extractions with proximity to the inferior alveolar nerve canal: what are the alternatives?].

    Levi, G; Levin, L

    2014-01-01

    Throughout the evolution, modern diet became softer and led to less attrition and less mesial migration of teeth resulting in an increased incidence of teeth impaction. When a mandibular third molar extraction is indicated, damage to the inferior alveolar nerve (IAN) is one of the most important complications. The objective of this review is to provide an overview of the alternative treatment modalities to total removal for a third mandibular molar in cases of proximity to the inferior alveolar nerve. Among the discussed options are: Orthodontic intervention to slowly move the tooth apex away from the mandibular canal and thus reducing the potential for neural injury during extraction; staged approached involving removal of the mesial portion of the crown creating a space for mesial migration of the teeth; and Coronectomy which include removing of the tooth crown while leaving the root undisturbed. PMID:24654497

  10. Preciso e confiabilidade de um localizador apical na odontometria de molares inferiores: estudo in vitro

    BritoJnior, Manoel et al.

    2007-01-01

    O coeficiente de correlao linear de Pearson revelou alta concorcndia interoperadores e intraoperadores. Para comparao do CT1, CT2 e CT3 foi aplicado o Teste t de Student para amostras pareadas (p < 0,05, que no mostrou diferenas significativas entre todas as medidas odontomtricas para os canais radiculares MV (p = 0,22 e D (p = 0,94. Portanto, o LAE testado mostrou-se preciso e confivel na determinao da odontometria de molares inferiores.

  11. Valoracin de la presencia y estado de erupcin del tercer molar inferior en las fracturas del ngulo mandibular

    Jos Manuel Daz Fernndez

    1998-12-01

    Full Text Available Se realiz un estudio prospectivo de 176 pacientes con fractura de mandbula en el Servicio de Ciruga Maxilofacial del Hospital Provincial Docente Saturnino Lora de Santiago de Cuba, durante los aos 1990-1995, con la finalidad de analizar la posible interrelacin entre las fracturas del ngulo y la presencia y estado de erupcin del tercer molar inferior. Se pudo comprobar que la incidencia de dichas fracturas era de gran significacin cuando los terceros molares inferiores no erupcionados se hallaban presentes, que haba una predisposicin ms marcada a la fractura del ngulo cuando sta se produca bilateralmente, as como tambin que el tercer molar inferior no erupcionado debilitaba el ngulo de la mandbula, tanto cualitativa como cuantitativamente; o sea, se demostr una relacin directa entre la cantidad de espacio seo ocupado por el tercer molar inferior no erupcionado y la debilidad del rea del hueso.A prospective study was performed in 176 patients presenting mandibular factures, treated in Maxillofacial Surgery Service of Saturnino Lora Teaching Provincial Hospital, Santiago de Cuba (1990-1995, to analyse possible interrelation between angle fractures and presence and state of eruption of inferior third molars. We check out that incidence of such fractures was significant when non-erupted inferior third molars were present, a remarkable predisposition against angle fracture when this one was bilateral, as well as that non-erupted inferior third molars weakened mandibular angle, both qualitatively as quantitatively; that is, a direct relationship between amount of bone space, occupied by non erupted inferior third molar and weakness of bone area was proved.

  12. Acute cervical artery dissection after a dental procedure due to a second inferior molar infection.

    Delgado, Montserrat G; Riesco, Nuria; Murias, Eduardo; Calleja, Sergio

    2015-01-01

    Periodontal infections might represent one of the causative factors for cervical artery dissection. We present a case of a 49-year-old woman admitted due to headache. The patient had been suffering from a right second inferior molar infection with a cervical phlegmon for 1 week prior to admission. On 2 October 2014, the patient went to the dentist and a molar extraction was performed in the morning. In the afternoon, the patient began to experience right hemifacial pain that progressed towards an intense and bilateral headache. Neurological status at the time of admission revealed right miosis, ptosis and conjuntival hyperaemia. A CT angiography showed a right internal carotid artery dissection provoking a high-degree stenosis. The relationship between periodontal infection and vascular disease has been previously presented. Microbial agents may directly, and inflammatory and immunological host response indirectly, influence inflammatory changes in cervical arteries favouring dissections with minor traumas. PMID:26038385

  13. Unerupted Primary Molar Teeth Positioned Inferior to the Permanent Premolar: A Case Report

    A. Bagheri

    2012-01-01

    Full Text Available Primary tooth impaction is a rare finding during the development of primary dentition. Several factors contribute to the impaction of a deciduous tooth. This report describes the diagnosis and treatment of a 10-year-old boy who presented an impacted second primary mandibular molar. This tooth, located inferior to the second premolar together with an odontoma, was positioned superior to the premolar teeth. Treatment consisted of surgical removal of the impacted deciduoustooth and odontoma and placement of a passive lower lingual holdingarch. Periodic examination was indicated for follow- up. Early intervention was recommended to manage orofacial disfigurement and to avoid consequent problems.

  14. Avaliação ortopantomográfica das angulações mesiodistais de caninos, pré-molares e molares inferiores com e sem a presença dos terceiros molares Panoramic evaluation of the mesiodistal angulations of canine teeth, premolar and inferior molars with and without the presence of the third molars

    Rodrigo Castellazzi Sella; Marcos Rogério de Mendonça; Osmar Aparecido Cuoghi

    2009-01-01

    OBJETIVOS: comparar os valores médios normais das angulações mesiodistais dentárias, propostos por Ursi, em 1989, com as angulações mesiodistais de caninos, pré-molares e molares inferiores em indivíduos com e sem a presença dos terceiros molares inferiores e idades entre 18 e 25 anos. Além disso, foram comparados os valores das angulações mesiodistais desses dentes nessas duas situações. MÉTODOS: foram utilizadas 40 radiografias ortopantomográficas de indivíduos, de ambos os gêneros, que não...

  15. Una rara complicacin en la extraccin del tercer molar inferior incluido: Caso clnico A rare complication during the extraction of the included inferior third molar: Case report

    S. Aboul-Hosn Centenero

    2009-10-01

    Full Text Available Presentamos una rara complicacin ocurrida tras el intento de extraccin del tercer molar incluido en una consulta odontolgica bajo anestesia local. El paciente requiri ingreso en el servicio de urgencias para la extraccin, de forma urgente, de la pieza a travs de un abordaje cervical bajo anestesia general e intubacin nasaotraqueal por desplazamiento de la pieza hacia la fosa submandibular durante el intento de extraccin ambulatoria. El paciente present signos evidentes de inflamacin en la regin submandibular con desplazamiento de la va area hacia el lado opuesto. Las complicaciones derivadas de la ciruga del tercer molar son, en algunos casos, mortales y pueden aparecer tras un acto quirrgico aparentemente de bajo riesgo. Estas complicaciones han sido ampliamente descritas en la literatura. An as consideramos importante el presentar complicaciones poco frecuentes en la ciruga del tercer molar ya que esto nos permitir conocerlas y ofrecer la mejor solucin en cada caso.We present a rare complication that appeared after an attempt to extract the included third molar with local anaesthesia at the odontologist office. The patient was admitted to the emergency room to have the tooth removed cervically under general anaesthesia and nasotracheal tubation because of its movement towards the submandibular fossa during the ambulatory extraction attempt. The patient showed evident signs of swelling in submandibular region and the airway was displaced towards the opposite side. The resulting complications from the third molar surgery are, in some cases, mortal and can occur after an apparently low risk surgery. These complications have been thoroughly described in literature. Still, we consider it important to describe infrequent complications of third molar surgery because it will allow us to know more about them and offer the best solution in every case.

  16. Cleaning and decompression of inferior alveolar canal to treat dysesthesia and paresthesia following endodontic treatment of a third molar

    Rudy Scala

    2014-01-01

    Full Text Available Endodontic overfilling involving the mandibular canal may cause an injury of the inferior alveolar nerve (IAN. We report a case of disabling dysesthesia and paresthesia of a 70-year-old man after endodontic treatment of his mandibular left third molar that caused leakage of root canal filling material into the mandibular canal. After radiographic evaluation, extraction of the third molar and distal osteotomy, a surgical exploration was performed and followed by removal of the material and decompression of the IAN. The patient reported an improvement in sensation and immediate disappearance of dysesthesia already from the first postoperative day.

  17. Sintesi sulla morfometria del primo molare inferiore nel gruppo Microtus (Terricola savii

    Armando Nappi

    2003-10-01

    Full Text Available Microtus (Terricola savii è distribuito su quasi tutta la penisola italiana e la Sicilia. La sottospecie brachycercus, descritta su esemplari della Sila (Calabria, risulta essere buona specie da studi cromosomici. È stata testata la morfometria del primo molare inferiore tramite 27 variabili considerando 55 (di cui 2 fossili popolazioni di M. savii (1351 denti e 7 di Terricola calabresi (221 denti. Se il numero di denti risultava basso si sono raggruppate più popolazioni quando possibile. Sugli assi dell?analisi discriminante è interessante notare come, benché vi siano somiglianze tra popolazioni che seguono una logica geografica, altre popolazioni vicine geograficamente risultano molto distanti dal punto di vista morfologico e somigliano per contro a popolazioni differenti sia per posizione geografica che situazioni ecologiche. È noto nelle arvicole il fenomeno per il quale una determinata specie, oltre ai morfotipi dentari ad essa tipici, ne possiede altri simili se non identici a quelli di altre specie (serie di Vavilov. Lo stesso fenomeno è osservabile a livello di popolazione nello studio da noi effettuato. Interessanti anche le posizioni marginali di alcune popolazioni come Lotrago di Romagnano (VR, Zelarino (VE, Valle Millecampi (VE, Nonantola (MO, Imola-Romitorio (BO/RA, Monti della Tolfa (RM, Torre del Greco (NA, Melissano (LE, Monteparano (TA, Fontasala (TP, Roccapalumba (PA. Considerando infine nell?insieme tutte le popolazioni di savii e Terricola calabresi, dall?analisi della varianza si riscontrano differenze significative in: lunghezza relativa della parte anteriore (p<0.0001; med 51.126 sav, 50.324 cal, inclinazione rombo pitimiano (p<0.0001; med -0.018 sav, ?0.043 cal, strozzatura cappio anteriore (p<0.0001; med 25.694 sav, 29.704 cal, V6/V21 (p<0.0001; med 2.582 sav, 2.509 cal, (V10-V9/V6 (p<0.0001; med 13.915 sav, 13.040 cal, (V12-V10/V6 (p<0.0001; med 2.180 sav, 2.678 cal, (V12-V11/V6 (p 0.0080; med 15.788 sav, 15.504 cal; (V18-V17/V21*100 (p<0.0001; med ?5.149 sav, ?8.503 cal, (V19- V17/V21*100 (p 0.0043; med 2.161 sav, 2.658 cal, spessore rombo pitimiano (p<0.0001; med 0.159 sav, 0.170 cal; V26/V27 (p 0.0005; med 37.773 sav, 38.326 cal, non significative invece le differenze nella lunghezza totale (p 0.4209, (V11- V9/V6 (p 0.3558, (V20-V19/V21*100 (p 6579. Sugli assi discriminanti la separazione tra i due gruppi non è molto evidente, solo sugli assi 1 e 3 le popolazioni calabresi (eccetto Belvedere Sup. CZ hanno una posizione un po? più marginale.

  18. Clinical efficacy of computed tomography and coronectomy for prevention of postoperative inferior alveolar nerve injury occurring after impacted mandibular third molar surgery

    Our aim was to evaluate the clinical efficacy of computed tomography and coronectomy for preventing postoperative inferior alveolar nerve injury after impacted mandibular third molar surgery. Among the patients who visited Kawasaki Medical School Hospital between January 2009 and December 2010, 12 patients with high-risk signs of inferior alveolar nerve injury on panoramic imaging were examined for the extraction of impacted mandibular third molar by computed tomography (CT). CT examinations were performed in order to examine the relationship between the root apex of impacted mandibular third molar and inferior alveolar canal for 16 teeth. Based on the imaging findings, the patients were informed about treatment methods and their consent was obtained. We compared the CT and panoramic findings and discussed the relationship between the impacted third molar and the inferior alveolar nerve. Medical records were also examined for the presence of abnormal postoperative complications. Interruption of the cortical white line of the inferior alveolar canal was identified in 13 panoramic radiographs, and bending of the inferior alveolar canal was observed in 2 panoramic radiographs. CT findings indicated type 2 inferior alveolar nerve proximity in 13 teeth, and there was no proximity in 3 teeth. The observation was selected in 10 teeth showing nerve proximity in CT findings. Traditional third molar removal was performed for the 3 teeth with no nerve proximity. Coronectomy was performed in 3 teeth with nerve proximity. The clinical course was uneventful. To prevent inferior alveolar nerve injury, coronectomy may be a better means of removing the crown of an impacted third molar while leaving the roots intact, in cases where teeth might be in proximity with the inferior alveolar nerve. (author)

  19. Incidencia de las extracciones del primer molar inferior permanente en los ruidos articulares / Permanent lower first molar extraction incidence in articular noises

    Mara Julia, Lpez Vallejos; Carlos Eduardo, Buffil; Mara Mercedes, Gonzlez.

    2015-06-01

    Full Text Available Los ruidos articulares se presentan frecuentemente en la prctica diaria odontolgica, algunos son audibles a simple odo y en otros casos es necesario tener entrenado el odo ya que pueden resultar imperceptibles. Mediante un examen clnico y desarrollo de un protocolo destinado especialmente para [...] la articulacin temporomandibular (ATM), los odontlogos registraron los datos en fichas individuales. Adems se registraron los datos relacionados con la frecuencia de aparicin segn el sexo y la edad. Los resultados demostraron que la extraccin prematura del primer molar inferior permanente no incide en la aparicin de ruidos articulares. Abstract in english Articular noises are frequently present in the daily dental practice. Some are easily discernible, nevertheless, in some other cases a trained ear might be necessary to perceive them since they might be imperceptible. In the present study, by means of a physical examination and development of a spec [...] ifically TMJ-designed (temporomandibular joint) protocol dentists recorded data in individual files. Data related to onset frequency according to age and gender were equally recorded. Results revealed the fact that premature extraction of the permanent lower first molar did not bear influence on the onset of articular noises.

  20. Anatomic relationship between impacted third mandibular molar and the mandibular canal as the risk factor of inferior alveolar nerve injury.

    Xu, Guang-zhou; Yang, Chi; Fan, Xin-Dong; Yu, Chuang-Qi; Cai, Xie-Yi; Wang, Yong; He, DongMei

    2013-12-01

    Our aim was to explore the relation between the site of the mandibular canal and neurosensory impairment after extraction of impacted mandibular third molars. We organised a retrospective study of 537 extractions in 318 patients in which the affected tooth was intersected by the mandibular canal. This was verified by cone-beam computed tomography (CBCT), and we analysed the relation between the site of the canal and the likelihood of injury to the inferior alveolar nerve (IAN) after extraction of the third molar. The relation between the position of the root of the tooth and the mandibular canal was categorised into 4 groups: I=root above the canal; II=on the buccal side; III=on the lingual side; and IV=between the roots. The overall rate of neurosensory impairment after extraction was 6% (33/537). It occurred in 9/272 patients (3%) in group 1, 16/86 (19%) in group II, and in 8/172 (5%) in group III. There was no neurosensory impairment in group IV where the canal was between the roots. There were significant differences between group II and groups I and III (pthird molars intersect with the mandibular canal, particularly on its buccal side. PMID:23411471

  1. Evaluation of accessory furcation canals of permanent mandibular molars using radiography and clearing =Avaliação do canal cavo-interradicular em molares inferiores permanentes através de Rx e diafanização

    Harb, Leandro José Corrêa et al.

    2010-01-01

    Objetivo: Avaliar a presença do canal cavo-interradicular em molares inferiores permanentes através de radiografias e diafanização. Metodologia: A amostra foi constituída por 344 molares inferiores re-hidratados, preparados e armazenados individualmente em recipientes de vidro. A presença do canal cavo-interradicular foi investigada por um único operador treinado usando lupa (4x) para as radiografias e microscópio óptico odontológico (30x) para as amostras diafanizadas. Microscopia eletrônica...

  2. Distalizao de segundo molar inferior impactado atravs da utilizao de ancoragem esqueltica com miniplaca: relato de caso Distalization of impacted mandibular second molar using miniplates for skeletal anchorage: case report

    Belini Freire-Maia

    2011-08-01

    Full Text Available O presente estudo consiste no relato de um caso onde a distalizao do segundo molar inferior impactado do lado direito foi obtida atravs da ancoragem esqueltica com o uso de miniplaca. A verticalizao dos segundos molares inferiores impactados, durante muito tempo, colocou-se como um grande desafio para ortodontistas e cirurgies bucais devido escassez de recursos de ancoragem destinados para esse fim. A utilizao da ancoragem esqueltica foi iniciada na clnica ortodntica em meados dos anos 80 e, desde ento, diversas modalidades tm sido desenvolvidas para esse princpio, como a utilizao de mini-implantes, implantes dentrios e, finalmente, miniplacas, que foram testadas e apresentaram resultados animadores. O assunto relevante para ortodontistas e cirurgies bucais, uma vez que o uso das miniplacas pode influir de forma significativa no tratamento de molares inferiores impactados.This study describes a case with an impacted right mandibular second molar which was distalized using miniplates for skeletal anchorage. Uprighting impacted mandibular second molars has been a great challenge for orthodontists and oral surgeons because of the scarcity of anchorage options. Skeletal anchorage was first used in clinical orthodontics in the middle of the 1980s. Since then, several devices have been developed for that purpose, such as mini-screws, tooth implants and, lately, miniplates, which have been tested and showed encouraging results. This topic is relevant for orthodontists and oral surgeons because the use of miniplates may significantly change the treatment of impacted mandibular molars.

  3. Avaliao radiogrfica do comportamento dos terceiros molares inferiores em pacientes tratados ortodonticamente com e sem extraes de primeiros pr-molares Radiographic evaluation of the behavior of lower third molars in patients that were orthodontically treated with and without first premolars extractions

    Reinaldo Roberto Hauy; Osmar Aparecido Cuoghi; Marcos Rogrio de Mendona

    2007-01-01

    OBJETIVO: o presente trabalho objetivou avaliar as alteraes ocorridas nas posies dos terceiros molares inferiores em pacientes tratados ortodonticamente com extraes dos primeiros pr-molares. METODOLOGIA: utilizou-se 80 ortopantomografias, obtidas no pr e ps-tratamento ortodntico corretivo de 40 pacientes, divididos em dois grupos. O grupo 1 constou de 20 pacientes (13 femininos e 7 masculinos) que se submeteram a tratamento ortodntico com extraes de primeiros pr-molares. O grupo...

  4. Má oclusão de Classe I com biprotrusão e ausência dos primeiros molares inferiores Angle Class I malocclusion with bimaxillary dental protrusion and missing mandibular first molars

    Aldino Puppin Filho

    2011-12-01

    Full Text Available O presente relato de caso descreve o tratamento ortodôntico de uma paciente de 24 anos de idade, portadora de má oclusão de Classe I de Angle, com protrusão dos incisivos superiores e inferiores, além de perda recente dos primeiros molares inferiores. O tratamento idealizado envolveu a exodontia dos primeiros pré-molares superiores, aliada ao fechamento dos espaços presentes na arcada inferior. O resultado obtido demonstra a necessidade de planos de tratamento individualizados e a importância dos conceitos biomecânicos para movimentar adequadamente os dentes. Esse caso clínico foi apresentado à Diretoria do Board Brasileiro de Ortodontia e Ortopedia Facial (BBO, representando a categoria livre escolha, como parte dos requisitos para obtenção do título de Diplomado pelo BBO.This case report describes the orthodontic treatment of a 24-year-old patient presenting with Angle Class I malocclusion, bimaxillary dental protrusion and recent loss of mandibular molars. Treatment involved extraction of the maxillary first premolars and closing of mandibular first molar spaces. Treatment outcomes demonstrate the need for individualized treatment planning and highlight the key role played by biomechanical concepts in achieving proper orthodontic tooth movement. This case was presented to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO as representative of the free choice category in partial fulfillment of the requirements for obtaining the BBO Diploma.

  5. Validity of the vertical tube-shift method in determining the relationship between the mandibular third molar roots and the inferior alveolar nerve canal

    2015-01-01

    Objectives To assess the validity of the vertical tube-shift method using intraoral periapical radiography (IOPAR) for determining the relationship between the mandibular third molar roots and the inferior alveolar nerve (IAN) canal in comparison with cone-beam computed tomography (CBCT). Materials and Methods Fifty impacted mandibular third molars were analyzed using the IOPAR vertical tube-shift method and CBCT. The relationship of the IAN canal to the impacted mandibular third molar was recorded as buccal, lingual or in line with the apex and was compared with CBCT findings. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the vertical tube-shift method in depicting the relationship (buccal/lingual/in line with the apex) of the IAN canal to the third molar root apex was calculated. Results The sensitivity and specificity PPV and NPV of the IOPAR vertical tube-shift technique was found to be highest for a lingual relationship (100%) followed by buccal (94.4%, 92.3%, 97.1%, and 85.7%) and in line with the apex relationship (88.9%, 95.0%, 80.0%, and 97.4%) of the IAN canal with the third molar root apex, respectively. A statistically significant association was observed between the IOPAR vertical tube-shift method and the CBCT with a P-value <0.01. Conclusion The vertical tube-shift method can be used as an effective diagnostic tool in assessing the relationship of the IAN canal to the third molar root apex with high sensitivity, specificity, PPV, and NPV. PMID:25922817

  6. Diagnostic Accuracy of Panoramic Radiography in Determining the Position of Impacted Third Molars in Relation to the Inferior Dental Canal Compared with Surgery

    F Ezoddini Ardakani

    2010-10-01

    Full Text Available Background/Objective: Extraction of the third lower molar tooth is one of the common surgical procedures that may lead to the damage of the infra-alveolar nerve. This damage could be related to deep impacted third molar teeth and roots close to the mandibular canal. Therefore, the radiography evaluation of the position of this tooth in relation to the inferior dental canal is important before surgery."nPatients and Methods: In this cross-sectional descriptive study, 59 patients who were referred to maxillofacial surgeons for third molar tooth surgery, and had a panoramic radiography were enrolled into the study. The positions of the impacted teeth in the panoramic radiography were determined according to their relation to the mandibular canal and were reported as five different subgroups (A, B, C, D and E. Cases which were not classified in any of these subgroups were considered as F. The surgeon also determined the position of the impacted teeth after surgery based on the mentioned classification. To assess the correlation of the data, Kappa analysis was used."nResults: Kappa statistics for agreement between radiography and surgery was 0.85 (p<0.001."nConclusion: According to this study, radiological assessment before third molar tooth surgery can reduce the risk of conceivable damage to the canal and nerve. It is recommended to consider the radiologists opinion before surgery.    

  7. Variables preoperatorias e intraoperatorias asociadas al aumento del tiempo quirrgico en la exodoncia de terceros molares inferiores Pre-surgical and surgical factors related to increase of surgical time in lower third molar remove

    S. Olate

    2012-12-01

    Full Text Available Introduccin: La exodoncia de tercer molar es un procedimiento frecuente en odontologa, lo que exige conocer los factores que pueden anticipar el tiempo quirrgico y sus caractersticas. El objetivo de esta investigacin es conocer los factores asociados al aumento del tiempo quirrgico (ATQ en la exodoncia de terceros molares inferiores (3M. Material y mtodo: 145 sujetos de entre 15 y 40 aos fueron seleccionados desde tres centros quirrgicos de Temuco (Chile, en los que fueron realizados 158 cirugas; todos los pacientes consultaron por exodoncia de tercer molar siendo operados en tales centros. Las variables del paciente, del diente y de la ciruga fueron estudiadas; la informacin fue analizada con el paquete estadstico Stata 9.1, empleando en test de Fisher y chi cuadrado con pIntroduction: Everyday, the third molar's surgery is more frequent. That fact makes necessary to know the factors that allow to anticipate the surgical time and its characteristics. The aim of this research was to know the pre-surgical and surgical factors associated with the increase of the surgical time (IST of the mandibular third molar (3M's surgery. Methodology: 145 subjects between the 15-40 years-oldwere selected from three surgical centers of Temuco (Chile. In this enclousures 158 surgeries were realized. All of the patients consulted by a 3M' s surgery, being put under surgical extraction in this centers. Variables from the patients, tooth and surgery itself were studied. The information were analyzed in the Stata 9.1 statistical package, utilizing the Fisher Test and Chi-Square Test,with p<0,05 for statistical significance. Results: The surgical time used in the surgery was minorof 20 minutes in the 50% of the cases and minor of de 30 minutes in the 75 % ofthe cases. The patient's age, the molar's position, the presence of pericoronaritis and the 3M' s root anatomy were significantly associated with a IST (p<0,05, of equal way the flap elevation, osteotomy and coronal orroot section had statistical significance with IST (p<0,05. Conclusion: Factors like the patient's age, molar'sposition, surgeon's experience, pericoronaritis and the root fussion contribute significantly to and IST.

  8. Electromyographic Study of the Masseter Muscle after Lower Third Molar Surgery Estudio Electromiográfico del Músculo Masetero tras Cirugía de Tercer Molar Inferior

    Tarley Eloy Pessoa de Barros

    2011-03-01

    Full Text Available Third molar extraction surgery is one of the most frequently performed procedures in the areas of buccal-maxillofacial traumatology and surgery. The post-surgery evolution was evaluated based on the clinical evidence obtained so far. The objective of this study was to analyze the post-surgery clinical evolution of the masseter muscle by means of surface electromyography, to evaluate muscle activity. Four analyses were performed: one pre-surgery, to register the normal activity, and three in post-surgery: on the 7th, 14th and 21st postoperative days, in a sample of 30 patients. On the 21st day, there was near normal recovery of the electrical signal of the masseter in women, but in men this activity did not reach normal levels. Surface electromyography is a safe and reliable tool for post-surgery evolution control of masseter function.La cirugía de extracción del tercer molar es uno de los procedimientos realizados con mayor frecuencia en las áreas de traumatología y cirugía buco-maxilofacial. La evolución post-quirúrgica fue evaluada sobre la base de la evidencia clínica obtenida hasta el momento. El objetivo de este estudio fue analizar la evolución clínica post-operatoria del músculo masetero por medio de electromiografía de superficie, para evaluar la actividad muscular. Fueron realizados cuatro análisis: uno previo a la cirugía, para registrar la actividad normal, y tres en la post-quirúrgica: en el día del 7, 14 y 21 postoperatorio, en una muestra de 30 pacientes. El día 21, hubo recuperación cercana a la normal de la señal eléctrica del músculo masetero en las mujeres, pero en los hombres esta actividad no alcanzó los niveles normales. La electromiografía de superficie es una herramienta segura y fiable para el control de la evolución post-quirúrgica de la función del músculo masetero.

  9. High-resolution dental magnetic resonance imaging of inferior alveolar nerve responses to the extraction of third molars

    The objective of this study was to assess whether signal changes can be detected in the neurovascular bundle of the mandibular canal after the extraction of a third molar. We retrospectively analyzed MRI scans of 30 test subjects with healthy mandibles and 41 patients who had had a wisdom tooth extracted. Signal intensities were measured at particular sites in the neurovascular bundle, which were defined as regions of interest (ROI) in the sagittal T1-weighted images before and after intravenous administration of a paramagnetic contrast agent. On the basis of the signal intensity increases that were measured after contrast agent administration, we compared the signal increases obtained for the patients who had received surgical treatment with the results obtained for the population of test subjects with unremarkable mandibles (t-test, P<0.05). Compared with the healthy test subjects, patients who had received surgical treatment showed significantly higher signal intensity increases at two measurement sites, i.e., the second molar and the second premolar (P<0.05). We found no significant differences when the measurements were performed at the first molar (P=0.06), the third molar (P=0.47) and in the area of the ascending mandibular ramus (P=0.79). Compared with a population of healthy test subjects, patients who had their third molars surgically removed show higher signal intensity increases in the neurovascular bundle after intravenous contrast agent administration. The underlying cause may be the higher blood flow in the arteries and veins and the perineural plexus, which may give evidence of the pathophysiological mechanism of nerve damage in the narrow canal as a result of osteotomy. (orig.)

  10. Precisão e confiabilidade de um localizador apical na odontometria de molares inferiores: estudo in vitro = Accuracy and reliability of an apex locator for working length determination of lower molars: an in vitro study

    BritoJúnior, Manoel et al.

    2007-01-01

    O presente estudo in vitro teve por objetivo avaliar a precisão e a confibialidade de um modelo de localizador apical eletrônico (LAE) na obtenção do comprimento de trabalho (CT) em molares inferiores. Após adequado acesso endodôntico e manobras iniciais de exploração em 20 dentes, mediu-se com uma lima K # 10 o comprimento dos condutos mésio-vestibular (MV) e distal (D) até o forame apical, subtraindo-se 1 mm (CT1), tendo como referências externas as cúspides mésio-vestibular e disto-vestibu...

  11. Avaliao radiogrfica do comportamento dos terceiros molares inferiores em pacientes tratados ortodonticamente com e sem extraes de primeiros pr-molares Radiographic evaluation of the behavior of lower third molars in patients that were orthodontically treated with and without first premolars extractions

    Reinaldo Roberto Hauy

    2007-12-01

    Full Text Available OBJETIVO: o presente trabalho objetivou avaliar as alteraes ocorridas nas posies dos terceiros molares inferiores em pacientes tratados ortodonticamente com extraes dos primeiros pr-molares. METODOLOGIA: utilizou-se 80 ortopantomografias, obtidas no pr e ps-tratamento ortodntico corretivo de 40 pacientes, divididos em dois grupos. O grupo 1 constou de 20 pacientes (13 femininos e 7 masculinos que se submeteram a tratamento ortodntico com extraes de primeiros pr-molares. O grupo 2 foi constitudo por 20 pacientes (13 femininos e 7 masculinos tratados ortodonticamente sem extraes. Foram estabelecidas medidas angulares, com o objetivo de avaliar as inclinaes e medidas lineares, para analisar as modificaes no sentido vertical dos terceiros molares. Todos os dados foram mensurados duas vezes, cujos valores mdios foram submetidos dos testes t emparelhado e teste t independente. RESULTADOS: os resultados mostraram diferenas estatisticamente significantes (pAIM: The aim of this study is to evaluate the positional changes occurred with lower third molars in patients treated orthodontically with extractions of first premolars. METHODS: A total of 80 panoramic radiographs obtained at pre and post-treatment periods from 40 patients, were divided into 2 groups: group 1 were composed by 20 patients (13 female and 7 male that were submitted to orthodontic treatment with extraction of first premolars; group 2 were composed by 20 patients (13 female and 7 male that were submitted to orthodontic treatment without extractions. Angular measurements were established to evaluate the tipping and linear measurements were established to analyze the vertical changes of the lower third molars. All data were measured twice and averaged, then submitted to paired and unpaired test. RESULTS: Significant differences were found between the initial and final angular measurements of group 1 (p<0.01. CONCLUSIONS: It was concluded that similar vertical changes of lower third molars occurred when extraction and non-extraction cases were compared, and third lower molars became less tipped with the extractions of lower first premolars.

  12. Avaliao da efetividade do laser de baixa potncia na reduo da dor ps-operatria em cirurgia de terceiros molares inferiores inclusos

    Juliane Wathier

    2011-01-01

    Full Text Available Objetivo: avaliar a efetividade do laser de baixa intensidade (LLLT no controle da dor ps-operatria em cirurgia de terceiros molares inferiores inclusos, comparando-o com o lado oposto, que no foi exposto ao LLLT, no mesmo indivduo. Metodologia: participaram do estudo 16 indivduos, que apresentaram os dentes 38 e 48 inclusos, em posio similar, e que realizaram a remoo dos dentes no mesmo tempo cirrgico. O laser foi aplicado imediatamente aps a remoo do 48 (lado direito - LD, intra-alvolo, de forma pontual e sobre a regio da sutura, em varredura. O mesmo procedimento foi realizado no 38 (lado esquerdo - LE, com o aparelho desligado garantindo o desconhecimento do paciente sobre qual lado recebeu o laser. Todos foram medicados e orientados quanto aos cuidados ps-operatrios e receberam as escalas visuais anlogas (VAS que variavam de 0-10 cm, anotando a ausncia ou presena da dor durante 5 dias do lado direito e esquerdo. Os dados foram tabulados e submetidos ao teste de Wilcoxon (p < 0,05 comparando-se as mdias da VAS de 1 a 5 dias. Resultados: no 3 dia LD e LE, houve diferena estatstica significante (p = 0,0284 e do LD a dor foi menor. No 1 e 5 dia houve reduo da dor em ambos os lados (LD:p=0,007; LE:p=0,001. Concluso: dentro dos limites do presente estudo o laser de baixa intensidade mostrou efetividade no controle da dor ps-operatria.

  13. Comparison of the cleaning efficacy of the FKG race system and hand instrument in molar root canal Comparao da eficcia de limpeza entre o sistema FKG race e instrumentos manuais em molares inferiores

    Carla Renata Sipert; Renata Pardini Hussne; Celso Kenji Nishiyama

    2006-01-01

    INTRODUCTION AND OBJECTIVE: The aim of this study was to evaluate the ability of root canal cleaning of the RaCe rotary instrumentation system (FKG Dentaire - La-Cheaux-de Fonds - Switzerland), compared to manual filing with Stainless Steel K-files (Maillefer Instruments - Ballaigues - Switzerland). MATERIAL AND METHOD: Twenty extracted human teeth (maxillary molars) were selected and their pulp tissue was removed after coronal access. The root canals were filled with a dye (India ink) and al...

  14. Comparison of the cleaning efficacy of the FKG race system and hand instrument in molar root canal Comparação da eficácia de limpeza entre o sistema FKG race e instrumentos manuais em molares inferiores

    Carla Renata Sipert

    2006-01-01

    Full Text Available INTRODUCTION AND OBJECTIVE: The aim of this study was to evaluate the ability of root canal cleaning of the RaCe rotary instrumentation system (FKG Dentaire - La-Cheaux-de Fonds - Switzerland, compared to manual filing with Stainless Steel K-files (Maillefer Instruments - Ballaigues - Switzerland. MATERIAL AND METHOD: Twenty extracted human teeth (maxillary molars were selected and their pulp tissue was removed after coronal access. The root canals were filled with a dye (India ink and allowed to dry for 48 hours, followed by establishment of the working length of the mesiobuccal root; then, half of the specimens were instrumented by the modified Oregon technique and the other half were instrumented by crown-down sequence of the RaCe system. After preparation, the teeth were longitudinally sectioned and evaluated according to the amount of remaining dye. RESULTS: Data obtained were registered as numerical scores, and the arithmetic means were compared between groups using the Mann Whitney test. Both techniques were unable to completely clean the interior of the root canals, with a better performance of the manual technique only at the middle third. CONCLUSION: It could be concluded that the RaCe system was able to provide satisfactory cleaning, similar to that obtained by the manual instrumentation technique.Objetivo deste trabalho foi avaliar a capacidade de limpeza de canais radiculares por meio do sistema de instrumentação RaCe (FKG Dentaire - La-Cheaux-de Fonds - Suíça em comparação à instrumentação manual por meio de limas tipo K-File (Maillefer Instruments - Ballaigues - Suíça. Foram selecionados 20 dentes humanos extraídos (molares superiores que tiveram seu conteúdo radicular removido após realização da abertura coronária. Os canais foram preenchidos com corante (tinta nanquim e após 48 horas para secagem, realizou-se a odontometria da raiz mésio-vestibular. Metade dos espécimes foi instrumentada pela técnica de Oregon modificada e a outra metade pela seqüência crown-down preconizada pelo fabricante do sistema RaCe. Após o preparo, os dentes foram seccionados longitudinalmente e avaliados de acordo com a quantidade de corante remanescente. Os dados obtidos foram registrados por meio de escores numéricos e as médias aritméticas foram analisadas entre os grupos pelo teste de Mann Whitney. Ambas as técnicas foram incapazes de limpar completamente o interior dos canais radiculares sendo que a técnica manual desempenhou limpeza significantemente superior apenas no terço médio. Conclui-se que o sistema RaCe foi capaz de desempenhar uma limpeza satisfatória sendo próxima àquela conseguida pela técnica de instrumentação manual.

  15. Estudio comparativo entre el uso de N – 2 butilcianoacrilato modificado y Vicryl 4 – 0 para el cierre de colgajos en cirugía de terceros molares Inferiores retenidos

    José Ignacio Serrano

    2014-12-01

    Full Text Available La extracción quirúrgica de los terceros molares supone la síntesis de los tejidos incididos previamente. El método de síntesis más utilizado en la práctica diaria del Cirujano Oral es la sutura con materiales convencionales guiados por una aguja para favorecer la cicatrización por primera intención, sin embargo, en la actualidad se ha puesto en boga la utilización de materiales adhesivos a base de Cianoacrilato para reemplazar las suturas convencionales, con el objetivo de disminuir el dolor postoperatorio, la dehiscencia de las heridas, el riesgo de infecciones, entre otros factores no menos importantes. Objetivo: El objetivo de este estudio predictivo es analizar comparativamente el dolor y la cicatrización de la herida postquirúrgica de terceros molares con la utilización de materiales de sutura adhesiva frente a suturas convencionales de vicryl 4/0 en cirugía de terceros molares retenidos. Materiales y métodos: Para este estudio predictivo se midieron los resultados arrojados de dos técnicas de síntesis en tejidos mucosos a través de la utilización de materiales de sutura convencional (vicryl 4/0 y sutura adhesiva a base de cianoacrilato. Se seleccionaron 30 de un universo de 137 pacientes que acuden al quirófano de la FOUCE y a clínicas particulares del cantón Sangolquí - Pichincha, en los que se realizaron 60 incisiones lineales de 3 cm de longitud, de ambos sexos, de entre 16 y 23 años de edad sin antecedentes patológicos personales. 30 incisiones correspondientes al tercer molar inferior izquierdo fueron sometidas a síntesis con material de sutura convencional y 30 incisiones correspondientes al tercer molar inferior derecho se sellaron con sutura adhesiva a base de cianoacrilato. Para valorar el dolor postquirúrgico se utilizó la técnica de escala visual análoga (EVA y para evaluar la dehiscencia de los tejidos se utilizó el método de inspección y observación. Los dos métodos se utilizaron al segundo, quinto y octavo día postquirúrgico. Resultados: Los resultados arrojados por el estudio demuestran una gran efectividad en la disminución del dolor postquirúrgico y en la reducción de la dehiscencia de los colgajos al utilizar técnicas adhesivas de sutura a base de cianoacrilatos (Glubran2.

  16. MOLAR UPRIGHTING

    Eka Erwansyah

    2006-04-01

    Full Text Available The mesial tipping of molar is frequently found in orthodontic cases. This molar malposition must be corrected since it may cause periodontal disorders, occlusal interferences, and temporomandibular joint dysfunction, and is often needed in planning a fixed bridge. This paper is a literature study to discuss about appliance designs, indication, and contraindications, and complication and treatment protocols of molar uprighting by fixed orthodontic appliances. By knowing the techniques of molar uprighting, the moments mentioned above can be avoided.

  17. Fusin de un tercer molar mandibular con un cuarto molar supernumerario Fusion of mandibular third molar with supernumerary fourth molar

    C. Lpez Carriches

    2008-10-01

    Full Text Available La fusin dental es la unin de dos grmenes dentales normalmente separados, mientras que la geminacin se define como el intento de divisin de un nico germen dental. La fusin y geminacin de molares es poco frecuente en la denticin permanente. Describimos un caso clnico de un tercer molar inferior derecho fusionado a un cuarto molar supernumerario en un paciente varn de 36 aos que ha presentado repetidos episodios de pericoronaritis. Tras el estudio radiolgico se realiza la exodoncia del cordal semiincluido bajo anestesia local. Llevamos a cabo una revisin bibliogrfica al respecto.Dental fusion is the union of two tooth buds that normally are separated, while gemination is defined as an attempt by a single tooth bud to divide. The fusion and gemination of molars is uncommon in permanent teeth. We report a clinical case of a right lower third molar fused to a supernumerary fourth molar in a 36-year-old male patient with repeated episodes of inflammation. After the radiologic study, the semi-impacted third molar was extracted under local anesthesia. The literature was reviewed.

  18. Comparación de la inflamación de tejidos blandos pos extracción simultánea de terceros molares inferiores utilizando en forma unilateral plasma rico en factores de crecimiento en el servicio de cirugía oral y maxilofacial, Hospital Enrique Garcés

    Iván Enrique Llerena Toapata

    2015-12-01

    Full Text Available La utilización de plasma rico en plaquetas posextracción de terceros molares permite al paciente sometido a este tipo de tratamientos reducir los síntomas negativos que aparecen posterior a la extracción quirúrgica. La siguiente investigación se realizó en 32 pacientes, 17 mujeres y 15 hombres, que acudieron al servicio de Cirugía Oral y Maxilofacial del Hospital Enrique Garcés de la ciudad de Quito con la presencia de terceros molares inferiores incluidos con las mismas características radiográficas en las piezas dentales Nº 38 (lado izquierdo y Nº 48 (lado derecho A cada paciente se le extrajo 10 cc de sangre para preparar mediante centrifugación y activación el plasma rico en plaquetas, el cual se colocó únicamente posterior a la extracción quirúrgica de los terceros molares inferiores, en el alveolo correspondiente a la pieza Nº 48, sin aplicar nada en el alveolo correspondiente a la pieza Nº 38 y de esta manera observamos que, mediante escalas de medición del dolor y mediciones faciales a las 24 horas, 72 horas y 8 días posterior a la cirugía, nos dio como resultado la disminución tanto del dolor como la inflamación en el lado derecho en comparación con el lado izquierdo.

  19. Inferior gastroschisis

    Ramnik V Patel; More, Bharat; Sinha, C K; Rajimawale, Ashok

    2013-01-01

    Gastroschisis is a common defect of the central abdominal wall, nearly always located to the right of the umbilicus. We report a baby boy with gastroschisis who had a defect on the inferior side of an intact and normal umbilical cord which was managed by primary repair and an uneventful recovery. Such a case has never been reported in the literature. This case contributes towards enlarging the spectrum of gastroschisis.

  20. Morfología de los dientes deciduos de algunos tremactinos (Ursidae: Tremarctinae) : Descripciones, comparaciones y posibles implicancias filogenéticas

    Carlini, Alfredo Armando; Soibelzon, Leopoldo Héctor

    2004-01-01

    Se describe y compara la morfología de algunos dientes deciduos de Arctotherium tarijense Ameghino and A. angustidens Gervais and Ameghino (Ursidae, Tremarctinae) por primera vez. La morfología del dP4 y dp4 es muy similar a la del M1 y m1. La morfología general de los dP/dp4 en A. tarijense y Ursinae es similar, aunque la morfología de sus dientes definitivos es muy diferente. Los dP/dp4 de A. tarijense parecen poseer un conjunto de caracteres generalizados (en relación con el contorno de la...

  1. Inflammatory process decrease by gallium-aluminium-arsenide (GaAlAs) low intensity laser irradiation on postoperative extraction of impacted lower third molar; Reducao de processo inflamatorio com aplicacao de laser de arseneto de galio aluminio ({lambda}=830 nm) em pos-operatorio de exodontia de terceiros molares inferiores inclusos ou semi-inclusos

    Atihe, Mauricio Martins

    2002-07-01

    This study aimed the observation of inflammatory process decrease by the use of GaAlAs Low Intensity Laser ({lambda}=830 nm; 40 mW) irradiation. Five patients were selected and submitted to surgery of impacted lower third molars, both right and left sides at different occasions. On a first stage, a tooth of a random chosen side - right or left - was extracted by conventional surgery, without LILT. The inflammatory process was measured at postoperative on the first, third and seventh days. This side was then called 'control side'. After 21 days, period in which the inflammatory process of the first surgery was terminated, the other side surgery took place, this time using LILT (4 J at four spots) at postoperative, first and third days. As the previous surgery, the inflammatory process was also measured at postoperative on the first, third and seventh days. This side was called 'experimental or lased side'. The inflammatory process was evaluated by measuring its four characteristic signs: swelling, pain, color and temperature. It was clearly observed a decrease for swelling, pain and color on the lased side which presented significant inference and descriptive statistics. It can be concluded that GaAlAs Low Intensity Laser ({lambda}=830 nm) can surely be used as an additional and important anti-inflammatory source on impacted lower third molar surgeries. (author)

  2. Morfometra de Terceros Molares: un Estudio de 55 Casos Third Molar Morphometry: a Study of 55 Cases

    Ramn Fuentes F

    2009-12-01

    Full Text Available Los terceros molares son las piezas dentarias con mayor variacin de forma, tamao, nmero y posicin. Se estudiaron 55 molares extrados de pacientes de la ciudad de Temuco, Chile, los cuales se clasificaron por edad, gnero y ubicacin en maxilares. Se midieron los siguientes parmetros: dimetro vestbulo-palatino (V-P, mesio-distal (M-D, altura coronaria (C-O, longitud radicular y longitud total. Adems, se cuantificaron nmero de races y cspides para cada molar, identificando aquellos molares con anomalas de forma. Los datos fueron analizados estadsticamente y tabulados. Los resultados arrojaron que los molares superiores presentaron mayor longitud total que lo inferiores, donde predomin en ambos la forma unirradicular. En cuanto a la forma coronaria, se observ un predominio de la forma tricuspdea prevaleciendo el dimetro V-P para los superiores y tetracuspdea para los inferiores, donde destac el dimetro M-D. La longitud coronaria fue mayor en los molares superiores, por el contrario de la longitud radicular la cual present un mayor valor para los molares inferiores.Third molars are the teeth with the highest variation of shape, size, number and position. Fifty five molars were extracted from patients of Temuco, Chile, which were classified by age, gender and location jaw. The following parameters were measured: vestibular-palatine diameter (VP, mesial-distal (MD diameter, coronary height (C-O, root length and total length. Additionally, number of roots and cusps were quantified for each molar identifying those with abnormal molar shape. The data were statistically analyzed and tabulated. The results showed that upper molars have higher total length than lower ones, predominating those with a one fused root. Regarding to crown shape, there was a predominance of tricuspid shape prevailing V-P diameter for upper third molars and tetracuspid for lower, noting M-D diameter. Coronary length was higher for upper molars, but root length was higher for lower molars than upper ones.

  3. Third molar evaluation with cone-beam computerized tomography

    Precise 3-dimensional localization of impacted mandibular third molars relative to the inferior dental canal (IDC) is critical to clinical management and surgical outcomes. Recently introduced dental 3-D volumetric imaging systems coupled with semi-automatic modeling techniques allows 3-D visualization of the IDC and the third-molar. Six impacted third molar sites were imaged with various 3-D volumetric imaging systems (NewTom 9000, Morita Accuitomo and Hitachi Mercuray). The spatial relationship of six impacted third-molars were visualized using imaging data obtained from these units. An interactive virtual model of a proposed third molar surgical site including the third molar and the inferior dental canal was developed. (orig.)

  4. Deciduous molar hypomineralization and molar incisor hypomineralization.

    Elfrink, M E C; ten Cate, J M; Jaddoe, V W V; Hofman, A; Moll, H A; Veerkamp, J S J

    2012-06-01

    This study was embedded in the Generation R Study, a population-based prospective cohort study from fetal life until young adulthood. This study focused on the relationship between Deciduous Molar Hypomineralization (DMH) and Molar Incisor Hypomineralization (MIH). First permanent molars develop during a period similar to that of second primary molars, with possible comparable risk factors for hypomineralization. Children with DMH have a greater risk of developing MIH. Clinical photographs of clean, moist teeth were taken with an intra-oral camera in 6,161 children (49.8% girls; mean age 74.3 mos, SD 5.8). First permanent molars and second primary molars were scored with respect to DMH or MIH. The prevalence of DMH and MIH was 9.0% and 8.7% at child level, and 4.0% and 5.4% at tooth level. The Odds Ratio for MIH based on DMH was 4.4 (95% CI, 3.1-6.4). The relationship between the occurrence of DMH and MIH suggests a shared cause and indicates that, clinically, DMH can be used as a predictor for MIH. PMID:22370445

  5. Iatrogenic injury to the inferior alveolar nerve

    Hillerup, Søren

    2008-01-01

    The purpose of this prospective, non-randomised, descriptive study is to characterise the neurosensory deficit and associated neurogenic discomfort in 52 patients with iatrogenic injury to the inferior alveolar nerve (IAN). All patients were examined and followed up according to a protocol...... assessing tactile, thermal, and positional perception as well as two-point discrimination and pain. In 48 patients with IAN injuries of differing etiologies who did not undergo surgery, 32 patients with injury associated with third molar surgery exhibited significant spontaneous improvement of sensory...... injuries associated with third molar surgery, other dento-alveolar surgery or implant surgery occur sufficiently often to render prevention a key issue....

  6. Removable molar power arm

    Raj Kumar Verma

    2013-01-01

    Full Text Available Attachment of force elements from the gingival hook of maxillary molar tubes during the retraction of the anterior teeth is very common in orthodontic practice. As the line of force passes below the center of resistance (CR of molar, it results its mesial tipping and also anchorage loss. To overcome this problem, the line of force should pass along the CR of molar. This article highlights a method to overcome this problem by attaching a removable power arm to the headgear tube of molar tube during the retraction of the anterior teeth.

  7. Multiple Abnormal Unerupted Mandibular Permanent Molar Teeth: A Case Report Molares Mandibulares Anormales No-Erupcionados Múltiples: Reporte de un Caso

    Umit Karacayli

    2009-03-01

    Full Text Available Abnormal multiply unerupted permanent molars have long received the attention of anatomists and maxillofacial surgeons besides the other developmental teeth anomalies. This paper presents a clinical case of a 23-year-old male patient who was admitted to the department of maxillofacial surgery in faculty of dentistry in Gulhane Medical School with a six month history of pain at the rest position and during chewing and also tender on his right corpus of mandible. The impaction which resulted in eruption failure and anatomical dislocation of the normally developed three mandibular molar teeth was found. It was defined facial asymmetry on his right side in extra-oral examination. Diagnosis of multiple abnormal unerupted mandibular molar teeth was confirmed by panoramic and 3D CT images. The unerupted inverted tooth was the third molar which is positioned to basis of the mandible on the right side. In the other side, the first molar was placed on basis of mandible and located distoangulary. The second molar was located on middle of the left corpus mandible vertically. And also, the third molar was erupted mesioangulary. The arch-length was evaluated by the oral surgeon. Mesio-distal distance between the teeth was to be sufficient. Causes of impacted permanent teeth might have been influenced by local factors such as prolonged deciduous tooth retention, malposed tooth germs, but not causing arch-length deficiency and supernumerary teeth. Abnormalities such as those reported in the present case are significant during maxillofacial surgery.Los molares permanentes anormales no erupcionados múltiples, además de otras anomalías del desarrollo de los dientes, desde hace tiempo han recibido atención de anatomistas y cirujanos maxilofaciales. Este artículo presenta un caso clínico de un paciente masculino de 23 años de edad, que fue admitido en el Departamento de Cirugía Maxilofacial de la Facultad de Odontología de la Escuela de Medicina Gulhane, con una historia de seis meses de dolor, en la posición de descanso y durante la masticación, así como dolor en su cuerpo mandibular derecho. Fue encontrada la impactación que resulta de la falla en la erupción y la dislocación de la anatomía normal del desarrollo en tres molares mandibulares. En el examen extraoral fue definida asimetría facial del lado derecho. El diagnóstico de molares mandibulares anormales no erupcionados múltiples fue confirmado por radiografía panorámica e imágenes de tomografía 3D. El diente invertido no erupcionado fue el tercer molar que se encontró en la base de la mandíbula en el lado derecho. En el otro lado, el primer molar se posicionó sobre la base de la mandíbula distoangularmente. El segundo molar se encontró verticalmente en medio del cuerpo mandibular izquierdo. También, el tercer molar erupcionó mesioangularmente. La longitud del arco fue evaluada por el cirujano oral. La distancia mesio-distal entre los dientes fue suficiente. Las causas de impactación de los dientes permanentes podrían haber sido influenciadas por los factores locales, tales como la retención prolongada de dientes deciduos o gérmenes dentales malposicionados, pero no fueron provocados por deficiencia de longitud del arco y dientes supernumerarios. Anomalías tales como las reportadas en el presente caso, son importantes en la cirugía maxilofacial.

  8. Second molar impaction associated with lip bumper therapy

    Helder Baldi, Jacob; Shawn, LeMert; Richard G., Alexander; Peter H., Buschang.

    2014-12-01

    Full Text Available INTRODUO: embora placas labioativas (PLAs) promovam um ganho clnico significativo no permetro da arcada inferior em pacientes com dentio mista, ortodontistas so relutantes em us-las devido a possibilidade de problemas eruptivos dos segundos molares. [...] OBJETIVO: o presente estudo avaliou a impaco dos segundos molares associada ao uso das PLAs e como a impaco pde ser resolvida. MTODOS: radiografias cefalomtricas lateral e panormica de 67 pacientes (34 do sexo feminino e 33 do masculino) foram avaliadas antes (T1) e aps (T2) o tratamento com PLAs, que durou aproximadamente 1,8 0,9 anos. Expanso rpida do palato (ERP) foi usada na maxila no incio do uso da PLA. Usando as radiografias panormicas, a impaco dos segundos molares inferiores foi avaliada relativamente posio dos primeiros molares mandibulares. Os movimentos horizontais e verticais dos primeiros e segundos molares inferiores foram avaliados com base em sobreposies de estruturas estveis da arcada inferior por meio das radiografias laterais. RESULTADOS: oito (11,9%) pacientes apresentaram impaco dos segundos molares mandibulares ao final do tratamento com PLA; dois pacientes tiveram de recorrer interveno cirrgica para a correo da impaco, cinco tiveram a correo da impaco usando apenas espaadores e um apresentou autocorreo da impaco. A coroa e o pice do primeiro molar inferior migraram 1.3mm e 2,.3mm, respectivamente, para mesial. O segundo molar no mostrou movimento horizontal significativo. CONCLUSO: embora o tratamento com PLA aumente o risco de impaco do segundo molar mandibular, as impaces, na maioria das vezes, podem ser facilmente corrigidas. Abstract in english INTRODUCTION: Although lip bumpers (LBs) provide significant clinical gain of mandibular arch perimeter in mixed-dentition patients, orthodontists are reluctant to use them due to the possibility of permanent second molar eruptive disturbances. [...] OBJECTIVE: The present study was conducted to assess second molar impaction associated with the use of LBs, and to investigate how they can be solved. MATERIAL AND METHODS: Lateral and panoramic radiographs of 67 patients (34 females and 33 males) were assessed prior (T1) and post-LB treatment (T2). LB therapy lasted for approximately 1.8 0.9 years. Concomitant rapid palatal expansion (RPE) was performed in the maxilla at LB treatment onset. Impaction of mandibular second molars was assessed by means of panoramic radiographs in relation to the position of first mandibular molars. Horizontal and vertical movements of first and second molars were assessed cephalometrically on lateral cephalometric radiographs based on mandibular superimpositions. RESULTS: Eight (11.9%) patients had impacted second molars at the end of LB therapy. Two patients required surgical correction, whereas five required spacers and one patient was self-corrected. Mandibular first molar tip and apex migrated forward 1.3 mm and 2.3 mm, respectively. Second molar tip showed no statistically significant horizontal movement. CONCLUSION: Although LB therapy increased the risk of second molar impaction, impactions were, in most instances, easily solved.

  9. Cornual molar ectopic pregnancy

    Bulent Cakmak

    2013-08-01

    Full Text Available The aim of this study is to present a rarely seen cornual molar ectopic pregnancy case regarding with literature. 36 years old patient with the third pregnancy was referred to our clinic with the prediagnosis of viable ectopic pregnancy. The patient had two vaginal delivery history and she had vaginal bleeding as spotting onwards fifteen days. Ultrasonographic assessment demonstrated ectopic pregnancy with positive fetal cardiac activity and 8mm crown-rump length (6W5D at right cornual region. The patient was performed cornotomy with laparotomy. Postoperative pathological evaluation was reported as a partial molar pregnancy. β-human chorionic gonadotropin (β-hCG values declined dramatically and so additional treatment was not applied. Molar ectopic pregnancy findings are usually seen as conventional pregnancies and β-hCG values and histopathological evaluation is important for correct diagnosis and follow up. [Int J Reprod Contracept Obstet Gynecol 2013; 2(4.000: 740-742

  10. Maxillary sinus pneumatization after maxillary molar extraction assessed with cone beam computed tomography

    Jung, Yu Hoa; Nah, Kyung Soo; Cho, Bong Hae [Department of Oral and Maxillofacial Radiology, College of Dentistry, Pusan National University, Pusan (Korea, Republic of)

    2009-09-15

    The purpose of this study was to examine the inferior expansion of the maxillary sinus floor following maxillary molar extraction. Cone beam computed tomographic images of 59 subjects were used to evaluate the height difference of the maxillary sinus floor between extraction sites and contralateral dentate sites. The height of the maxillary sinus floor was defined as the vertical distance to the Frankfort plane from the level of the anterior nasal spine to the most inferior point of the sinus floor. We examined the difference in sinus pneumatization according to the number of missing teeth and the vertical relationship of the molar roots to the sinus floor. The inferior expansion of the maxillary sinus floor was 1.20 {+-} 1.86 mm on the maxillary first molar and 1.90 {+-} 2.42 mm on the maxillary second molar. Increased expansion was observed in cases where two proximate molars were extracted. There was no significant difference in sinus pneumatization following extraction according to the vertical relationship of the molar roots to the sinus floor. The results of this study confirm that sinus pneumatization occurs following maxillary molar extraction. In situations where pneumatization can affect treatment after molar extraction, three-dimensional radiography should be considered.

  11. Endodontic treatment of molars

    Stürzlinger, Heidi; Bodenwinkler, Andrea; Habl, Claudia

    2006-01-01

    Objective: Commissioned by the German Institute of Medical Documentation and Information (DIMDI) the Austrian Health Institute (ÖBIG) prepared a HTA report on the long-term effectiveness of endodontic treatment (root canal treatment, RCT) of molars. The focus is to examine factors influencing the outcome of endodontic treatment and showing their impact on long-term results. Additionally, economic aspects of root canal treatment in Germany are discussed. Methodology: By performing a systematic...

  12. Angle Class II, subdivision, with agenesis of mandibular second molars and extrusion of maxillary second molars

    Rubens Rodrigues, Tavares.

    2015-04-01

    Full Text Available O presente caso clnico relata o tratamento de uma m ocluso de Classe II de Angle, em uma jovem com face harmoniosa, porm agravada por agenesias de segundos e terceiros molares inferiores e consequente extruso dos segundos molares superiores. A anomalia oclusal atpica e peculiar levou a uma pro [...] posta de tratamento individualizada, visando normalizar os maus posicionamentos dentrios e uma posterior reabilitao das reas edntulas, por meio de uma abordagem multidisciplinar. O presente caso foi apresentado Diretoria do Board Brasileiro de Ortodontia e Ortopedia Facial (BBO), como parte dos requisitos para a obteno do ttulo de Diplomado pelo BBO. Abstract in english This clinical case reports the treatment of an Angle Class II malocclusion in a young woman with a balanced face affected by agenesis of second and third mandibular molars and subsequent extrusion of second maxillary molars. The atypical and peculiar occlusal anomaly led to individualized treatment [...] proposed in order to normalize dental malpositions, with subsequent rehabilitation of edentulous areas by means of a multidisciplinary approach. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) in partial fulfillment of the requirements for obtaining the title of certified by the BBO.

  13. Taurodontism in deciduous molars.

    Bafna, Yash; Kambalimath, H V; Khandelwal, Vishal; Nayak, Prathibha

    2013-01-01

    Taurodont teeth are characterised by large pulp chambers at the expense of roots. An enlarged pulp chamber, apical displacement of the pulpal floor and no constriction at the level of the cement-enamel junction are the characteristic features of taurodont tooth. It appears more frequently as an isolated anomaly but its association with syndromes and other abnormalities have also been reported. Permanent dentition is more commonly affected than deciduous dentition. This paper presents a case report of taurodontism in relation to mandibular deciduous second molars. PMID:23737594

  14. Isolated inferior mesenteric portal hypertension with giant inferior mesenteric vein and anomalous inferior mesenteric vein insertion

    Prasad, G Raghavendra; Billa, Srikar; Bhandari, Pavaneel; Hussain, Aijaz

    2013-01-01

    Extrahepatic portal hypertension is not an uncommon disease in childhood, but isolated inferior mesenteric portal varices and lower gastrointestinal (GI) bleed have not been reported till date. A 4-year-old girl presented with lower GI bleed. Surgical exploration revealed extrahepatic portal vein obstruction with giant inferior mesenteric vein and colonic varices. Inferior mesenteric vein was joining the superior mesenteric vein. The child was treated successfully with inferior mesenteric – i...

  15. Efficacy of the technique of piezoelectric corticotomy for orthodontic traction of impacted mandibular third molars.

    Ma, Zhigui; Xu, Guangzhou; Yang, Chi; Xie, Qianyang; Shen, Yuqing; Zhang, Shanyong

    2015-04-01

    Our aim was to assess the efficacy of piezoelectric corticotomy for orthodontic traction of mandibular third molars close to the inferior alveolar nerve. Thirty patients with impacted third molars close to the nerve were included in the study, 15 of whom were treated with conventional orthodontic traction and 15 with piezoelectric corticotomy. We recorded duration of treatment including exposure and orthodontic traction, and time to the final extraction. Postoperative complications including trismus, swelling, and pain were also noted. Alveolar bone levels mesial and distal to the second molars were evaluated on cone-beam computed tomographic (CT) images. Student's t test was used to assess the significance of differences between the groups. After orthodontic treatments all impacted third molars were successfully removed from the inferior alveolar nerve without neurological damage. The mean (SD) duration of surgical exposure in the piezoelectric corticotomy group was significantly longer than that in the conventional group (p=0.01). The mean (SD) duration of traction was 4 (2.3) months after piezoelectric corticotomy, much shorter than the 7.5 (1.3) months in the conventional group (p=0.03). There were no significant differences in postoperative complications between the groups. There was a significant increase in the distal alveolar height of second molars after treatment in both groups (pcorticotomy allows more efficient and faster traction of third molars with a close relation between the root and the inferior alveolar nerve, although it took longer than the traditional technique. PMID:25638568

  16. Primary inferior oblique overaction-management by inferior oblique recession.

    Kamlesh

    2002-01-01

    Full Text Available PURPOSE: To evaluate the effect of 10 mm inferior oblique recession in horizontal strabismus with V pattern and primary inferior oblique overaction. METHODS: Ten patients of V esotropia and exotropia with primary inferior oblique overaction underwent 10 mm inferior oblique recession by the methods described by Park and Stallard. Pre- and postoperative V pattern, inferior oblique overaction and binocularity were assessed. Patients were followed up for 3 months. RESULTS: The mean preoperative V pattern was 38.3 PD and the mean inferior oblique overaction was 22 PD. After surgery the mean correction of the V pattern was 26.9 PD and the mean residual V pattern was 11.4 PD. None of the patients had inferior oblique overaction postoperatively. 70% of the patients showed improvement in binocularity. CONCLUSION: 10 mm Inferior oblique recession by the described technique is a simple, safe and effective method for the cosmetic and functional treatment of horizontal deviation and V pattern with primary inferior oblique overaction.

  17. Embarazo molar repetido: Caso clnico

    Leonor Zapata

    2002-03-01

    Full Text Available Se presenta el caso clnico de una paciente con tres embarazos molares en tres aos. Los dos primeros fueron dos molas completas y el ltimo una mola parcial, todas de la misma pareja sexual. Se revisaron 385 historias de pacientes con cualquier tipo de embarazo molar entre 1991-2000. Hubo 3 pacientes con embarazo molar repetido lo que representa el 0,77 %, se diagnosticaron 104 embarazos y de estos 4 fueron molares lo que represent una mola por cada 26 embarazos. Se hacen comentarios sobre etiologa, futuro reproductivo, posible evolucin hacia tumor trofoblstico de la gestacin y vigilancia clnica de los prximos embarazos.The case of a patient with three molar pregnancies in three years is reported. The first two were complete mola and the last one a partial mola, all from the same sexual partner. The record of 385 patients with any kind of molar pregnancy between 1991-2000 were revised and there were 3 patients with repeated molar pregnancies (0.77 %. There were 104 pregnancies from which 4 were mola (one mola for each 26 pregnancies. We comment about etiology, reproductive future, possible evolution to gestational trophoblastic tumor and clinical surveillance of subsequent pregnancies.

  18. Anesthetic technique for inferior alveolar nerve block: a new approach

    Dafna Geller Palti

    2011-02-01

    Full Text Available BACKGROUND: Effective pain control in Dentistry may be achieved by local anesthetic techniques. The success of the anesthetic technique in mandibular structures depends on the proximity of the needle tip to the mandibular foramen at the moment of anesthetic injection into the pterygomandibular region. Two techniques are available to reach the inferior alveolar nerve where it enters the mandibular canal, namely indirect and direct; these techniques differ in the number of movements required. Data demonstrate that the indirect technique is considered ineffective in 15% of cases and the direct technique in 13-29% of cases. OBJECTIVE: The aim of this study was to describe an alternative technique for inferior alveolar nerve block using several anatomical points for reference, simplifying the procedure and enabling greater success and a more rapid learning curve. MATERIAL AND METHODS: A total of 193 mandibles (146 with permanent dentition and 47 with primary dentition from dry skulls were used to establish a relationship between the teeth and the mandibular foramen. By using two wires, the first passing through the mesiobuccal groove and middle point of the mesial slope of the distolingual cusp of the primary second molar or permanent first molar (right side, and the second following the oclusal plane (left side, a line can be achieved whose projection coincides with the left mandibular foramen. RESULTS: The obtained data showed correlation in 82.88% of cases using the permanent first molar, and in 93.62% of cases using the primary second molar. CONCLUSION: This method is potentially effective for inferior alveolar nerve block, especially in Pediatric Dentistry.

  19. Luxatio erecta: Inferior glenohumeral dislocation

    Baba Asif

    2007-01-01

    Full Text Available Inferior dislocation of the shoulder, also called luxatio erecta, is a rare form of the otherwise common shoulder dislocation. It accounts for less than 0.5% of all shoulder dislocations. A case involving the inferior dislocation of the shoulder is reported. A brief review of the presentation and management of the condition is described.

  20. Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification

    Gintaras Juodzbalys

    2013-06-01

    Full Text Available Objectives: The purpose of present article was to review impacted mandibular third molar aetiology, clinical anatomy, radiologic examination, surgical treatment and possible complications, as well as to create new mandibular third molar impaction and extraction difficulty degree classification based on anatomical and radiologic findings and literature review results.Material and Methods: Literature was selected through a search of PubMed, Embase and Cochrane electronic databases. The keywords used for search were mandibular third molar, impacted mandibular third molar, inferior alveolar nerve injury third molar, lingual nerve injury third molar. The search was restricted to English language articles, published from 1976 to April 2013. Additionally, a manual search in the major anatomy and oral surgery journals and books was performed. The publications there selected by including clinical and human anatomy studies.Results: In total 73 literature sources were obtained and reviewed. Impacted mandibular third molar aetiology, clinical anatomy, radiographic examination, surgical extraction of and possible complications, classifications and risk factors were discussed. New mandibular third molar impaction and extraction difficulty degree classification based on anatomical and radiologic findings and literature review results was proposed. Conclusions: The classification proposed here based on anatomical and radiological impacted mandibular third molar features is promising to be a helpful tool for impacted tooth assessment as well as for planning for surgical operation. Further clinical studies should be conducted for new classification validation and reliability evaluation.

  1. Extraes de molares na Ortodontia Molar extractions in orthodontics

    Marco Antnio Schroeder

    2011-12-01

    Full Text Available O tratamento ortodntico com extrao de molares em pacientes adultos tecnicamente mais complexo, devido a inmeros fatores. Em geral, o espao a ser fechado maior do que o espao dos pr-molares e, por isso, a ancoragem crtica e o tempo de tratamento mais longo. comum esses casos apresentarem algum grau de comprometimento periodontal por causa da idade dos pacientes e, portanto, necessitam de maior controle da mecnica ortodntica para reduzir os efeitos colaterais do fechamento do espao. Por isso, bons resultados de finalizao so mais difceis de ser alcanados. Sendo assim, este artigo tem como objetivo apresentar as razes para a indicao de extrao de molares nos tratamentos ortodnticos, as contraindicaes, as diferentes fases da mecnica ortodntica, esclarecer os fatores envolvidos nesse tipo de planejamento e tratamento e apresentar casos clnicos tratados com extrao de molares.Orthodontic treatment with extraction of molars in adult patients is technically more complex due to a number of factors. In general, the space to be closed is greater than premolar spaces rendering critical anchorage and longer treatment time. Often such cases exhibit some degree of periodontal involvement due to patient age. Hence, the need for greater control over orthodontic mechanics to reduce the side effects of space closure. Therefore, good finishing results can be more difficult to achieve. Thus, the purpose of this article is to determine the reasons for molar extraction indications, describe different stages of orthodontic mechanics, and explain the issues involved in this kind of planning and treatment. Additionally, it aims at describing some treatments with molar extractions.

  2. Relation between mandibular third molar and mandibular canal assessed by computed tomography

    During the removal of the mandibular third molar, the inferior alveolar nerve in the canal sometimes damaged. To avoid this complication, it is necessary to understand the positional relationship between the mandibular third molar and the mandibular canal. We evaluated the relationship between the mandibular 3rd molar and the mandibular canal with panoramic X-p and computed tomography (CT). Eighty-six (50.0%) mandibular canals were buccal type, 64 were inferior type, 18 were lingal type, and 4 were between the roots type on CT findings. 137 (79.7%) canal pattern were round type, 35 were flatness type. 109 (63.4%) presence of bone were interposition type, 63 were non-interposition type. Among 172 third molar extraction, hypesthesia of lower lip was observed in 3 cases and inferior alveolar nerve was exposed in 3 teeth. There was no overlap between hypesthesia and nerve exposure. CT provides useful information to surgeons regarding the relationship between the mandibular third molar and the mandibular canal. (author)

  3. Mini-implants: mechanical resource for molars uprighting

    Susiane Allgayer

    2013-02-01

    Full Text Available INTRODUCTION: The early orthodontic treatment allows correction of skeletal discrepancies by growth control, and the elimination of deleterious habits, which are risk factors for the development of malocclusions, favoring for the correction of tooth positioning later in a second treatment stage. During development of teeth and occlusion, the mandibular second molars commonly erupt in the oral cavity after all other teeth of the anterior region. In their eruptive process there may be a condition known as tooth impaction, which precludes its complete eruption and requires proper uprighting treatment. The temporary anchorage devices allow disimpaction and movement of these teeth directly to their final position, without the need of patient compliance or reaction movements in other parts of the arch. OBJECTIVE: This paper aims at describing a case report of the treatment of a patient with Angle Class II malocclusion, performed in two phases, in which mini-implants were used for uprighting the impacted mandibular second molars.INTRODUO: o tratamento ortodntico precoce permite a correo das discrepncias esquelticas por meio do controle de crescimento e a eliminao de hbitos deletrios, que so fatores de risco para o desenvolvimento de ms ocluses, que favorecem a correo do posicionamento dentrio mais tardiamente, em uma segunda fase do tratamento. Durante o desenvolvimento da dentio e da ocluso, normalmente o segundo molar inferior chega cavidade bucal aps todos os dentes posicionados anteriormente a ele. Durante seu processo eruptivo, pode ocorrer uma condio chamada "impaco dentria", em que sua erupo completa interrompida, exigindo tratamento apropriado para verticalizao. Os dispositivos temporrios de ancoragem permitem a desimpaco e a movimentao desses dentes diretamente s suas posies finais, sem a necessidade de cooperao do paciente e sem movimento de reao nas outras unidades da arcada. OBJETIVO: descrever o tratamento de um caso de m ocluso Classe II de Angle, realizado em duas fases, durante o qual foram utilizados mini-implantes para verticalizao dos segundos molares inferiores impactados.

  4. Noncompliance unilateral maxillary molar distalization:.

    Mavropoulos, Anestis; Sayinsu, Korkmaz; Allaf, Ferdi; Kiliaridis, Stavros; Papadopoulos, Moschos A; Keles, Ahmet Ozlem

    2006-05-01

    The aim of this prospective study was the three-dimensional (3-D) analysis of tooth movements after unilateral upper molar distalization by means of a noncompliance intraoral appliance, the Keles slider. This appliance exerts a distalizing force of 150 g at approximately the level of the center of resistance of the upper first molar. Twelve patients (six girls and six boys with a mean age of 13.1 years) with a unilateral Class II molar relationship participated in the study. Dental casts were taken immediately before placement and after removal of the appliance. The casts were digitized using a 3-D surface laser scanner and superimposed on a predefined area of the palate. The average unilateral upper first molar distal movement was 3.1 mm (range: 2.4 to 5.3 mm). Anchorage loss was expressed by a 2.1 mm (range: 0.8 to 3.8 mm) proclination of the central incisors and a 6.1 degrees mesial inclination of the ipsilateral first premolar (range: 1.7 degrees to 12.3 degrees ). There was approximately 1 mm of midline deviation toward the contralateral side and a 1.6 mm (range: 0.8 to 2.3 mm) buccal displacement of the contralateral first premolar. A substantial variation was observed among patients. Noncompliance unilateral upper molar distalization was an efficient treatment approach. There was, however, a substantial anchorage loss. Case selection is strongly recommended because significant anterior crowding, ectopic canines, or spacing can lead to significant anchorage loss. PMID:16637715

  5. Molar development in sheep: morphology, radiography, microhardness

    The chronology of molar development is studied from radiographic and macroscopic observations on 48 south Pre-Alps were living under optimal nutritional conditions. It was found that the first molar started its development in utero, the second molar at one month after birth, and the third molar, at 9-10 months. The first molar emerged into the oral cavity at 3 months, the second at 9 months and the third molar at 18 months. The first molar began the development of its roots at 6-7 months, the second molar at 11-12 months and the third molar at 20-22 months. The first molar reached completion of the growth of its roots at 3.5-4 years, the second and the third molars at about 6 years. The molars show the particularity of being functional during the three months which follow their eruption although the development of the crown is not completed. Then the accelerated wear is only partially compensated by the growth of the roots. The study also shows how the combined effects of wear and dentine deposit in the pulp cavity affect the morphology of molars. It reveals the marked hardness of enamel (240 Vickers units) and the low resistance of dentine at the surface of attrition (30 Vickers units)

  6. Expressly Fabricated Molar Tube Bases: Enhanced Adhesion

    Sharma, Tarun; Phull, Tarun Singh; Rana, Tarun; Kumar, Varun

    2014-01-01

    Clinicians, Orthodontists and their patients’ parents often expect the best results in the shortest time span possible. Orthodontic bonding of molar tubes has been an acceptable risk in a modern era of refined biomaterials and instrumentation. Although many orthodontists still prefer banding to bonding, it is the failure rate of the tubes on molars which accounts to an impedance in molar bonding. One of the reasons for molar attachment failures is attributed to improper adaptation of the bucc...

  7. Evaluation of Dental Eruption of Third Molars in the Length of Mandible Evaluacin de la Erupcin Dentaria de los Terceros Molares en Relacin a la Longitud de la Mandbula

    Gilberto de Sousa Filho

    2009-12-01

    Full Text Available The aim of this work was to evaluate the eruption of the third molar teeth in the length of the mandible using the orthodontic documentation obtained between 2005 and 2006 as sampling method, a total of 193 cases of both sexes. The cephalometric analysis and panoramic radiographic studies were chosen from two clinics randomly selected in the city of Recife Pernambuco - Brazil. It was analyzed the linear size of mandibular bone by the use of McNamara's Cephalometric Analysis, and also the presence or not of dental retention of inferior third molar teeth with the help of panoramic radiographic study, evaluating the commitment of these retentions with the effective length of mandible. The work concluded that when the effective mandibular length is small induces a dental retention of these third molars, mostly the left inferior third molar, which 46.5% of the cases was observed as retained. However, in 53.8% of the cases was observed the absence or no-formation of these dental germs for the left inferior third molar and 60% for the right, showing a big size of the effective length of the mandible exposing that the no-formation of these teeth was not directly related to the lack of space in the dental arch. The study demonstrated that the sexual dimorphism does not influence the eruption of these teeth, however, according to age, was emphasized a dependence concerning about dental eruption, retention or absence of left inferior third molar.El objetivo de la presente investigacin fue evaluar la erupcin del tercer molar a lo largo de la mandbula usando documentacin de ortodoncia obtenida entre los aos 2005 y 2006, en un total de 193 casos de individuos brasileos, adultos, de ambos sexos. El anlisis cefalomtrico y los estudios radiogrficos panormicos fueron obtenidos de dos clnicas y seleccionados al azar en la ciudad de Recife, Estado de Pernambuco, Brasil. Se analiz el tamao linear de la mandbula usando el mtodo cefalmetrico de McNamara, y tambin la presencia o ausencia de retencin dental del tercer molar inferior con la ayuda de radiografas panormicas, evaluando la relacin de esas retenciones, si las hubiere, con la longitud efectiva de la mandbula. Los resultados muestran que cuando la longitud mandibular efectiva es pequea induce a retencin dental de los terceros molares, siendo en la mayora de los casos el tercer molar inferior izquierdo, lo cual fue obervado en 46,5 % . Sin embargo, en el 53,8 % de los casos se observ ausencia o no formacin de los grmenes dentales del molar mencionado, caracterstica que se encontr en 60 % en el lado derecho, mostrando un gran tamao de longitud efectiva de la mandbula, indicando que la no formacin de ese molar no fue directamente relacionada a un reducido espacio en el arco dental. El estudio demostr que el dimorfismo sexual no influencia la erupcin de ese molar, sin embargo, la variable edad, resalt una dependencia relacionada con la erupcin dental, retencin o ausencia del tercer molar inferior izquierdo.

  8. Simulation of the Inferior Mirage

    Branca, Mario

    2010-01-01

    A mirage can occur when a continuous variation in the refractive index of the air causes light rays to follow a curved path. As a result, the image we see is displaced from the location of the object. If the image appears higher in the air than the object, it is called a "superior" mirage, while if it appears lower it is called an "inferior"…

  9. Neurovascular plexus theory for "escape pain phenomenon" in lower third molar surgery

    Gururaj Arakeri

    2015-06-01

    Full Text Available Pain during extraction of impacted mandibular third molars which can occur despite adequate local anesthesia is termed as "escape pain phenomenon". Recently, it was described during elevation of a mesioangular impacted mandibular third molar and also while curetting an extracted third molar socket. This phenomenon has been overlooked, as it was previously considered secondary to pressure effect on the inferior alveolar neurovascular bundle (IANB. However, it is unlikely that the pain impulses originate from direct pressure on the IANB, as the nerve is blocked more proximally at its entry into the mandible. The authors speculated that the occasional presence of a neurovascular plexus (NVP independent of the IANB causes the escape of a pain impulse upon stimulation by root pressure or instrumentation. To validate the presence of such a plexus, a meticulous literature search and review were performed. The search revealed evidence of the occasional presence of a NVP consisting of auriculotemporal and/or retromolar neural filaments. The plexus may be present around the inferior alveolar artery or embedded within the IANB, and does not innervate the tooth. This plexus likely propagates pain impulses only upon stimulation by compression or instrumentation in the apical area of the tooth socket. This theory explains the absence of pain during tooth sectioning and bone guttering in the presence of a complete inferior alveolar nerve block.

  10. Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve

    Gorur Ilker; Orhan Kaan; Ozen Tuncer; Ozturk Adnan

    2006-01-01

    Abstract Background The most severe complication after the removal of mandibular third molars is injury to the inferior alveolar nerve or the lingual nerve. These complications are rather uncommon (0.4% to 8.4%) and most of them are transient. However, some of them persist for longer than 6 months, which can leave various degrees of long-term permanent disability. While several methods such as pharmacologic therapy, microneurosurgery, autogenous and alloplastic grafting can be used for the tr...

  11. Variations in the buccal-lingual alveolar bone thickness of impacted mandibular third molar: our classification and treatment perspectives

    Ge, Jing; Zheng, Jia-Wei; Yang, Chi; Qian, Wen-Tao

    2016-01-01

    Selecting either buccal or lingual approach for the mandibular third molar surgical extraction has been an intense debate for years. The aim of this observational retrospective study was to classify the molar based on the proximity to the external cortical bone, and analyze the position of inferior alveolar canal (IAC) of each type. Cone-beam CT (CBCT) data of 110 deeply impacted mandibular third molars from 91 consecutive patients were analyzed. A new classification based on the mean deduction value (MD) of buccal-lingual alveolar bone thickness was proposed: MD?1?mm was classified as buccal position, 1?mm>MD>?1?mm was classified as central position, MD??1?mm was classified as lingual position. The study samples were distributed as: buccal position (1.8%) in 2 subjects, central position (10.9%) in 12 and lingual position (87.3%) in 96. Ninety-six molars (87.3%) contacted the IAC. The buccal and inferior IAC course were the most common types in impacted third molar, especially in lingually positioned ones. Our study suggested that amongst deeply impacted mandibular third molars, lingual position occupies the largest proportion, followed by the central, and then the buccal type. PMID:26759181

  12. Inferior mirages: an improved model.

    Young, Andrew T

    2015-02-01

    A quantitative model of the inferior mirage is presented, based on a realistic temperature profile in the convective boundary layer, using Monin-Obukhov similarity theory. The top of the inverted image is determined by the logarithmic part of the profile; the bottom is the apparent horizon, which depends on optical obstruction by roughness elements. These effects of surface roughness are included in the model, which is illustrated with a simulation. The vertical magnification varies throughout the mirage, becoming infinite at Minnaert's ill-named "vanishing line"-which makes green flashes apparent to the naked eye. PMID:25967823

  13. Permanent molars: Delayed development and eruption

    Arathi R

    2006-05-01

    Full Text Available Delayed development and eruption of all the permanent molars is a rare phenomenon, which can cause disturbance in the developing occlusion. The eruption of permanent first and second molars is very important for the coordination of facial growth and for providing sufficient occlusal support for undisturbed mastication. In the case described, the first permanent molars were delayed in their development and were seen erupting at the age of nine and a half years. Severe disparity between the left and the right side of the dentition with respect to the rate of development of molars were also present.

  14. Positional relationship between the deciduous molar and the successional permanent teeth. Three-dimensional observation of the deciduous second molars and second premolars by X-ray CT

    To investigate the positional relationship between the maxillo-mandibular deciduous second molars and the successional permanent teeth, the second premolars in the jaw bones, three-dimensional observation of dry skulls was performed using X-ray CT. The specimens were 30 dry skulls, comprising of 15 dry skulls in the deciduous dentition period and 15 dry skulls in the first half of the mixed dentition period. The following results were obtained: Regarding the observation of the horizontally sectioned images, measurement was performed by overlapping horizontally sectioned images of the outline form of the tooth crown of the deciduous second molars, and those of the bony crypt of the second premolars. In the maxillary bone, the bony crypt of the second premolars was mesio-distally within the outline form of the tooth crown of the diciduous second molars, whereas it was bucco-lingually on the palatal side. In the mandibular bone, although the bony crypt of the second premolars was bucco-lingually within the outline form of the tooth crown of the deciduous second molars, it was mesio-distally slightly on the distal side. By observing the position of the central point of the deciduous second molar tooth crown and that of the deciduous second molar tooth root, differences were noted in both the maxilla and mandible, and the distance between the 2 points was larger in the mandible. Furthermore, by observing the position of the central point of the deciduous second molar tooth crown and that of the bony crypt of the second premolars, the distance was larger in the maxilla. Regarding the observation of the vertically sectioned images, bucco-lingual sections of the maxillo-mandibular deciduous second molars were observed. Differences in the inclination angle between the coronal axis of the deciduous second molars and the axis of the bony crypt were smaller in the maxilla than in the mandible. Therefore, it was speculated that the bony crypt was vertically located near the direction of the coronal axis of the deciduous second molars in the maxilla, and was in the inferior position of the crown of the deciduous second molars in the mandible. The vertical distance between the occlusal surface (cuspal mid-point) of the deciduous second molars and the superior edge point of the bony crypt of the second molars was 9.3 mm in the maxilla, and 9.8 mm in the mandible, and that between the occlusal surface of the deciduous second molars and the central point of the bony crypt was 14.4 mm in the maxilla, and 14.0 mm in the mandible, showing no significant differences between the maxilla and mandible. Concerning the positional relationship between the maxillo-mandibular deciduous second molars and the second premolars, these findings revealed that the bony crypts of the successional permanent teeth are not positioned in the central area of the deciduous tooth crowns, both bucco-lingually and mesio-distally, but in characteristic positions in both the maxilla and mandible. It was also found that differences in the mutual positional relationship were large in the maxilla, in particular. (author)

  15. Antibiotics in third molar surgery.

    Vlcek, Daniel; Razavi, Amir; Kuttenberger, Johannes J

    2014-01-01

    The aim of this survey was to assess the knowledge and practice of Swiss dentists focusing on the use of antibiotics in prophylactic surgical removal of lower wisdom teeth. A postal survey was conducted among all 3288 dentists who are members of the Swiss Dental Society (SSO) representing nearly all dentists in Switzerland. The questionnaire consisted of 13 questions with mostly multiple-choice answers. Demographic profile, surgical experience, the use of antibiotics, and wound management, i.e. wound closure and the use of mouth rinse were assessed. A response rate of 55% was obtained. Most Swiss dentists perform surgical extractions in their practices. Of all dentists, 18.6% used antibiotics routinely, but a large variation was found comparing the three linguistic regions of Switzerland with the highest prescription rate of 48% in the French-speaking south-west of Switzerland. Fifty-two percent of dentists prescribed amoxicillin in a dose of 750 mg. Most often three daily doses were prescribed (47%). A postoperative regime was prescribed by 54.4% of dentists. French language (p=0.003), graduation from the university of Geneva (p=0.007), foreign diplomas (pthird molar surgery. Antibiotic prescription however largely depends on geographical situation and dentist profiles. The assessment of antibiotic use in private practices is important in the light of growing evidence that antibiotic overuse may lead to development of multiresistant bacterial strains. In a second part results regarding wound management and mouth rinse will be presented. PMID:24671748

  16. Treating Intraradicular Pockets of molars

    H. Lotfizade

    1987-10-01

    Full Text Available It appears that until bone graft has not achieved 100% success, intraradicular diseases remain controversial and therefore, different treatment plans are suggested for them. Treating intraradicular diseases depend on many factors: maxillary molars are more prone to bone loss and have worse prognosis. To assess prognosis more carefully these factors should be considered: 1 bone loss: its apical depth, local or generalized 2 bone condition: buccal, lingual, mesial and distal aspects 3 tooth mobility: grades 2 and 3 have not good prognosis. Crown root ratio is also important. 4 the angle of divergence of roots: the more the roots are divergent, the better the prognosis would be. 5adjacent teeth health 6tooth position in jaws 7 age and general health of the patients 8 oral hygiene In general, teeth with 2 roots can be treated more effectively than 3 root ones. Maxillary first premolars are exceptions that do not respond to the treatments positively. We should look forward to the future investigations and findings.

  17. Inferior epigastric artery angiography applied in the transplantation with the deep inferior epigastric perforator free flap

    Objective: To observe the effect of inferior epigastric artery angiography applied in the transplantation with the deep inferior epigastric perforator free flap. Methods: Seven patients who had undergone the deep inferior epigastric perforator free flap transplantation, received angiography of the inferior epigastric artery. The value of the angiography was discussed. Results: All patients were successful in angiography without any adverse reaction. All patients were successful in transplantation except one because of personal reason. Conclusion: Inferior epigastric artery angiography facilitates the transplantation with the deep inferior epigastric perforator free flap. (authors)

  18. Expressly fabricated molar tube bases: enhanced adhesion.

    Sharma, Tarun; Phull, Tarun Singh; Rana, Tarun; Kumar, Varun

    2014-06-01

    Clinicians, Orthodontists and their patients' parents often expect the best results in the shortest time span possible. Orthodontic bonding of molar tubes has been an acceptable risk in a modern era of refined biomaterials and instrumentation. Although many orthodontists still prefer banding to bonding, it is the failure rate of the tubes on molars which accounts to an impedance in molar bonding. One of the reasons for molar attachment failures is attributed to improper adaptation of the buccal tube base with or without increased thickness of composite. Merits of banding the second molars especially when these are the terminal teeth for anchorage have been overemphasized in the literature. The present article presents a simple and relatively less time consuming technique of preparing molar tubes to be bonded on tooth surfaces which may be quite difficult to isolate especially for bonding, for example, mandibular second molars. The increased surface area of the composite scaffold helps not only in enhanced bond strength but also serves to reduce the incidence of plaque accumulation given the dexterity of invitro preparation. The removal of the occlusal part of the molar tube scaffold helps in prevention of open / raised bite tendencies. The present innovation, therefore, is not merely serendipity but a structured technique to overcome a common dilemma for the clinical orthodontist. The present dictum of banding being superior to molar tube bonding may prove to be futile with trendsetting molar attachments. It is also an established fact that bonding proves to be a lesser expensive modality when compared to banding procedures. PMID:25121070

  19. Empleo racional de la coronectoma en la extraccin de terceros molares incluidos Rational application of coronectomy when treating lower impacted third molar

    C. Recio Lora

    2009-08-01

    Full Text Available Los terceros molares son los dientes que, con ms frecuencia, sufren el fracaso de su erupcin y quedan incluidos o retenidos dentro de los maxilares. Un gran porcentaje de nuestros pacientes presentan los cordales incluidos y, de ellos, una parte importante se acompaa de patologa que hace aconsejable su tratamiento quirrgico. La tcnica de la coronectoma aplicada al tercer molar incluido fue descrita por primera vez por Ecuyer y Debien en 1984 como la eliminacin parcial de dicho diente, dejando deliberadamente parte de su raz en el interior de la mandbula. Fue propuesta para evitar la lesin del nervio dentario inferior (NDI en aqullos casos en los que exista una ntima relacin entre ambas estructuras anatmicas. Aunque el objetivo de la tcnica es muy claro, no est libre de controversia, ya que el cirujano debe valorar la posibilidad de una complicacin infecciosa de origen pulpar. Presentamos un caso clnico exitoso de esta tcnica, junto al anlisis de la postura ante la tcnica de los distintos autores, as como sus ventajas e inconvenientes.Third molars are the teeth that most frequently fail to erupt and remain impacted or retained inside the bone. A large percentage of our patients have impacted wisdom teeth and many of these patients also have pathologies that require surgical treatment. Applied coronectomy technique of the impacted third molar was first described by Ecuyer and Debien in 1984. The described it as partial elimination of the tooth in question, deliberately leaving part of the root inside the bone. This was proposed to avoid injuring the inferior dental nerve in cases where there was a close relationship between the two anatomical structures. Although the objective of the procedure is very clear, it is still controversial. Therefore, the surgeon should evaluate the possibility of an infectious complication of pulpar origin. We present the successful clinical case that uses this technique, as well as an analysis of the distinct authors' opinions this technique and its advantages and disadvantages.

  20. Maxillary second molar impaction in the adjacent ectopic third molar: Report of five rare cases.

    Souki, Bernardo Q; Cheib, Paula L; de Brito, Gabriela M; Pinto, Larissa S M C

    2015-01-01

    Maxillary second molar impaction in the adjacent ectopic third molar is a rare condition that practitioners might face in the field of pediatric dentistry and orthodontics. The early diagnosis and extraction of the adjacent ectopic third molar have been advocated, and prior research has reported a high rate of spontaneous eruption following third molar removal. However, some challenges in the daily practice are that the early diagnosis of this type of tooth impaction is difficult with conventional radiographic examination, and sometimes the early surgical removal of the maxillary third molar must be postponed because of the risks of damaging the second molar. The objective of this study is to report a case series of five young patients with maxillary second molar impaction and to discuss the difficulty of early diagnosis with the conventional radiographic examination, and unpredictability of self-correction. PMID:26321848

  1. Maxillary second molar impaction in the adjacent ectopic third molar: Report of five rare cases

    Bernardo Q Souki

    2015-01-01

    Full Text Available Maxillary second molar impaction in the adjacent ectopic third molar is a rare condition that practitioners might face in the field of pediatric dentistry and orthodontics. The early diagnosis and extraction of the adjacent ectopic third molar have been advocated, and prior research has reported a high rate of spontaneous eruption following third molar removal. However, some challenges in the daily practice are that the early diagnosis of this type of tooth impaction is difficult with conventional radiographic examination, and sometimes the early surgical removal of the maxillary third molar must be postponed because of the risks of damaging the second molar. The objective of this study is to report a case series of five young patients with maxillary second molar impaction and to discuss the difficulty of early diagnosis with the conventional radiographic examination, and unpredictability of self-correction.

  2. Relacin entre Niveles de Inclusin de Terceros Molares Mandibulares e ndices Antropomtricos Fsicos de la Mandbula en Etnias Atacameas y Aymaras del Norte de Chile Relationship between Levels of Third Molar Inclusion and Physical Anthropometric Indices of the Mandible in the Atacameo and Aymara Ethnic Groups of Northern Chile

    Vctor Javier Beltrn Varas; Ramn Fuentes Fernndez; Alejandro Bustos Corts; Antonio Sanhueza Campos

    2011-01-01

    La patologa relacionada con el proceso de formacin odontognica, desarrollo y erupcin de terceros molares, constituyen uno de los motivos ms frecuentes de consulta odontolgica. La mayora de los autores coinciden en que el tercer molar inferior es el diente con mayor frecuencia de inclusin pero existen discrepancias respecto a la influencia de factores ecolgicos y raciales que expliquen esa condicin. Se sabe que los individuos de un grupo tnico tienen caractersticas fsicas especial...

  3. Treatment of ectopic first permanent molar teeth.

    Hennessy, Joe

    2012-11-01

    Ectopic eruption of the first permanent molar is a relatively common occurence in the developing dentition. A range of treatment options are available to the clinician provided that diagnosis is made early. Non-treatment can result in premature exfoliation of the second primary molar, space loss and impaction of the second premolar. This paper will describe the management of ectopic first permanent molars, using clinical examples to illustrate the available treatment options. CLINICAL RELEVANCE: This paper is relevant to every general dental practitioner who treats patients in mixed dentition.

  4. Breast Reconstruction: Deep Inferior Epigastric Perforator

    Full Text Available ... surgery each of them chose to undergo. The deep inferior epigastric perforator flap technique allows surgeons to rebuild breasts in the ... areolar-sparing mastectomy and immediate reconstruction using the deep inferior epigastric perforator flap, or the DIEP flap. I'm pleased to ...

  5. Fabrication and Evaluation of a Noncompliant Molar Distalizing Appliance: Bonded Molar Distalizer

    S. Arab

    2011-09-01

    Full Text Available Objective: Attempts to treat class II malocclusions without extraction in non-compliant patients have led to utilization of intraoral molar distalizing appliances. The purpose of this study was to investigate dental and skeletal effects of Bonded Molar Distalizer (BMD which is a simple molar distalizing appliance.Materials and Methods: Sixteen patients (12 girls, four boys with bilateral half-cusp class II molar relationship, erupted permanent second molars and normal or vertical growth pattern were selected for bilateral distalization of maxillary molars via BMD. Thescrews were activated every other day, alternately. Lateral cephalograms and study models were obtained before treatment and after 11 weeks activation of the appliance.Results: Significant amounts of molar distalization, molar distal tipping and anchorage loss were observed. The mean maxillary first molar distal movement was 1.220.936 mm with a distal tipping of 2.973.74 degrees in 11 weeks. The rate of distal movement was0.48 mm per month. Reciprocal mesial movement of the first premolars was 2.261.12 mm with a mesial tipping of 4.253.12 degrees. Maxillary incisors moved 3.551.46 mm and tipped 9.875.03 degrees mesially. Lower anterior face height (LAFH decreased 1.281.36 mm.Conclusion: BMD is appropriate for distalizing maxillary molars, especially in patients with critical LAFH, although significant amounts of anchorage loss occur using this appliance.

  6. Pneumatization of bilateral inferior turbinates: case report

    Fatih Akagun

    2013-01-01

    Full Text Available Nasal turbinates are very important for normal nasal functions. Warming, humidification, filtration and regulation of air sow are the main functions of turbinates. Pneumatization of inferior turbinate which is known as inferior concha bullosa is an anatomic variation and less than the pneumatization of middle turbinate. Although usually asymptomatic, severe pneumatized and inferior hypertrophic turbinates can cause nasal obstruction and headache. Mostly; pneumatization of inferior turbinate is detected incidentaly on paranasal computerized tomography. Treatment is not always necessary but in some symptomatic cases surgery may be required. There is no consensus about surgical management. Paranasal sinus and turbinate surgical treatment focuses on techniques that affect the functions of the lowest rate. In this report, a 35 year old inferior concha bullosa case who suffers from nasal obstruction is presented and the symptomatology, diagnosis and treatment options are discussed.

  7. Maxillary second molar extractions in orthodontic treatment.

    Lee, Wilson; Wong, Ricky Wing-Kit; Ikegami, Tomio; Hgg, Urban

    2008-01-01

    This article is a review of the rationales, indications, methods, and effects of orthodontic treatment with maxillary second molar extractions. In addition to the patient's malocclusion, specific considerations about the status and position of the maxillary second and third molars should be taken into account. In recent years, the development of temporary anchorage devices, in addition to extraoral traction and intraoral distalization appliances, has become another armamentarium in the distalization of the maxillary posterior teeth, which may affect the selection of teeth to be extracted from second to third molars. In conclusion, extraction of maxillary second molars is a viable option in selected cases at present, but it is important to understand the indications and limitations of this treatment choice. PMID:18426106

  8. Third Molars: A Threat to Periodontal Health??

    Kaveri, G. S.; Prakash, Shobha

    2011-01-01

    The third molars have received the fair amount of interest in literature. It has been blamed for problems such as—lower incisor crowding, atypical facial pain, caries etc. They are considered as ‘waste bins’ in dental practices as they are regarded as functionally non-essential. While making the clinical decision, they are given less importance and often extraction is considered to be the treatment option. Despite periodontal problems that can arise with extracted third molars, retention of t...

  9. Tuberculosis pulmonar de campos inferiores

    Alejandra González

    2010-10-01

    Full Text Available La tuberculosis (TB que compromete sólo los campos pulmonares inferiores (TBCI es poco frecuente en el adulto y en general está asociada a alguna causa de inmunodepresión. El objetivo de nuestro trabajo fue determinar la incidencia de TBCI en nuestra población y comparar sus características respecto de la TB pulmonar de localización habitual. Se estudiaron en forma retrospectiva en el período de 2004 a 2008, 42 pacientes con TBCI que fueron comparados con 84 pacientes con TB pulmonar de localización habitual (grupo control. Se excluyeron pacientes con HIV. La TBCI representó el 6% del total de TB pulmonar. No se encontraron diferencias significativas en cuanto a edad, sexo, presencia de cavidades en la radiografía, días de evolución y nivel de albúmina. La TBCI tuvo significativamente mayor proporción de comorbilidades (p < 0.001, presencia de condensación (p < 0.001 y compromiso unilateral (p < 0.001 en la radiografía de tórax, junto con mayor número de internaciones (p = 0.02. Cabe destacar que sólo16 de los 42 pacientes con TBCI (38% tenían alguna comorbilidad demostrada. La TBCI puede presentarse aun sin comorbilidades asociadas y debe sospecharse en neumonías de evolución tórpida independientemente de su localización.

  10. The effect of buffer molarity on the size, shape and sheath thickness of peripheral myelinated nerve fibres.

    Holland, G R

    1982-01-01

    Nineteen rats were perfused intracardially with a 2% glutaraldehyde solution in cacodylate buffers adjusted in molarity from 0 to 0.4 M. Ultrathin sections of the inferior alveolar nerve were photographed in the electron microscope. The circumference, a shape factor, small diameter and myelin sheath thickness of each myelinated nerve fibre were measured using a semi-automatic image analysis system. Statistical analysis of the data revealed that the nerve profiles increasingly deviate from a t...

  11. A study of the correlation between second molar distal caries and third molar eruption

    Chrisa DIVANIDOU

    2012-12-01

    Full Text Available This study aims to analyse the correlation parameters between second molar distal caries and third molar eruption. Materials and methods: 73 cases of patients who had their third impacted or semi-impacted molars removed,were studied; they were retrieved from the archive of a private practice. The following parameters were evaluated:patients’ gender, second molars distal caries,angulation, impaction plane and mesio-distal distance between the third and second molars. Results: Of the 73 cases that were studied, 21 involved second molar distal caries (28.8%, while in 52 cases the second molars were free of caries (71.2%. Within the first group, 66.6% of the cases involved third molar distal angulation of 41°-60° and 61°-80°, with type A impaction planes in 86% and the mesio-distal distance ranging between 10 – 12 mm in 52.4%. Conclusion: Erupting third morals need to be prophylactically extracted if there is a significant risk of developing caries in adjacent second molars.

  12. Pulpotomas de molares temporales en pulpas muertas con tintura de propleos al 10%

    Walkyria del Carmen Gonzlez Rodrguez

    2007-09-01

    Full Text Available Se realiz un ensayo clnico fase II aleatorizado comparado en 50 nios de 4 a 10 aos que presentaron molares temporales con muerte pulpar, los cuales acudieron a la Clnica Estomatolgica Provincial de Santiago de Cuba entre septiembre del 2005 y septiembre del 2006, con el objetivo de demostrar la eficacia de la tintura de propleos al 10 % en pulpotomas (necropulpotomas. Se conformaron 2 grupos de tratamientos de 26 pacientes cada uno: en el grupo A se emple tintura de propleos al 10 % y en el B el formocresol. Los pacientes se evaluaron a los 7, 15 y 30 das, sin observarse diferencias ni reacciones adversas. El grupo dentario ms tratado fue el constituido por los segundos molares temporales inferiores, donde la tintura de propleos al 10 % en las pulpotomas, result ser tan eficaz como el formocresol, por lo que se recomienda incluir en tratamientos endodnticos esta nueva teraputica.

  13. Anomalies of the vena cava inferior

    Two cases of anomalous inferior vena cava are presented, with the emphasis on embryology. The firts patient was investigated by venography for a clinically proven varicocele as a probable cause of infertility. A double inferior vena cava was found during venography, and was confirmed by computed tomography (CT). In the second case a left-sided inferior vena cava was an incidental finding when a CT scan was done as a diagnostic procedure in a case of Hodgkin's disease. A short summary of the embryology and the significance of the variants is presented

  14. Observation of positional relation between mandibular third molars and the mandibular canal on limited cone beam computed tomography

    We describe the preoperative use of limited cone beam computed tomography (CT) with a dental CT scanner for the assessment of mandibular third molars before extraction. Cone beam CT provides 42.7-mm-high and 30-mm-wide rectangular solid images, with a resolution of less than 0.2 mm. The positional relationship between the mandibular third molars and the mandibular canal was examined by dental CT. Sixty-eight lower third molars of 62 patients whose teeth were superimposed on the mandibular canal on periapical or panoramic radiographs were studied. Dental CT scans clearly demonstrated the positional relationship between the mandibular canal and the teeth. The mandibular canal was located buccally to the roots of 16 teeth, lingually to the roots of 27 teeth, inferiorly to the roots of 23 teeth, and between the roots of 2 teeth. The presence of bone between the mandibular canal and the teeth was not noted in 7 of 16 buccal cases, 24 of 27 lingual cases, and 10 of 23 inferior cases on dental CT scans, suggesting that the canal was in contact with the teeth. Fifty-nine of the 68 mandibular third molars were surgically removed, and postoperative transient hypoesthesia occurred in 4 patients. Dental CT scans showed no bone between the mandibular canal and the teeth in all 4 patients. Hypoesthesia was not related to the bucco-lingual location of the mandibular canal or to the extent of bone loss between the canal and the teeth. However, hypoesthesia did not occur in patients with bone between the mandibular canal and the teeth. Thus, information on the distance between the canal and teeth on dental CT scans was useful for predicting the risk of inferior alveolar nerve damage. Because of its high resolution and low radiation dose, cone beam CT was useful for examination before mandibular third molar surgery. (author)

  15. Breast Reconstruction: Deep Inferior Epigastric Perforator

    Full Text Available ... layers of the abdomen. And one of the big differences between the deep inferior epigastric perforator flap ... L. SMITH, MD, FACS: Well, one of the big pluses of the DIEP flap compared to the ...

  16. Breast Reconstruction: Deep Inferior Epigastric Perforator

    Full Text Available ... DEEP INFERIOR EPIGASTRIC PROCEDURE BETH ISRAEL MEDICAL CENTER NEW YORK, NY January 11, 2008 00:00:24 ... hour, live from Beth Israel Medical Center in New York City, you'll hear about the tough ...

  17. Breast Reconstruction: Deep Inferior Epigastric Perforator

    Full Text Available BREAST RECONSTRUCTION: DEEP INFERIOR EPIGASTRIC PROCEDURE BETH ISRAEL MEDICAL CENTER NEW YORK, NY January 11, 2008 00:00:24 WOMAN 1: The diagnosis of breast cancer is shocking for anybody and ...

  18. Breast Reconstruction: Deep Inferior Epigastric Perforator

    Full Text Available ... usually in that setting, we'll proceed as planned with the deep inferior epigastric perforator technique. 00: ... revision of the reconstruction. So it's almost a planned two-stage process. We like to do as ...

  19. Breast Reconstruction: Deep Inferior Epigastric Perforator

    Full Text Available ... to undergo. The deep inferior epigastric perforator flap technique allows surgeons to rebuild breasts in the most natural way possible. Unlike older techniques, the deep flap doesn't require the removal ...

  20. Sarcoma of the vena cava inferior

    Authors present an infrequent case of a female patient with abdominal tumor a great superficial collateral circulation type cava-cava, the abdominal ultrasound, the transthoracic and transesophageal echocardiogram and the computerized axial tomography (CAT) identified a tumor of the vena cava inferior. The fine-needle aspiration cytology of lesion confirmed the presence of primary fusopleomorphous sarcoma of high degree of malignancy of vena cava inferior

  1. An incidental finding of the accessory inferior thyroid artery

    Sedy J

    2008-01-01

    We report a case of an incidental finding of the right accessory inferior thyroid artery, emerging from the thyrocervical trunk together with a typical inferior thyroid artery, present in a normal position. On the left side, only single inferior thyroid artery was present. Only one inferior thyroid vein was found on each side. The accessory inferior thyroid artery entered the thyroid gland approximately 1 cm above the normal inferior thyroid, above the superior parathyroid gland. Although acc...

  2. Oxygen from Hydrogen Peroxide. A Safe Molar Volume-Molar Mass Experiment.

    Bedenbaugh, John H.; And Others

    1988-01-01

    Describes a molar volume-molar mass experiment for use in general chemistry laboratories. Gives background technical information, procedures for the titration of aqueous hydrogen peroxide with standard potassium permanganate and catalytic decomposition of hydrogen peroxide to produce oxygen, and a discussion of the results obtained in three…

  3. Molar heat capacity and molar excess enthalpy measurements in aqueous amine solutions

    Poozesh, Saeed

    Experimental measurements of molar heat capacity and molar excess enthalpy for 1, 4-dimethyl piperazine (1, 4-DMPZ), 1-(2-hydroxyethyl) piperazine (1, 2-HEPZ), I-methyl piperazine (1-MPZ), 3-morpholinopropyl amine (3-MOPA), and 4-(2-hydroxy ethyl) morpholine (4, 2-HEMO) aqueous solutions were carried out in a C80 heat flow calorimeter over a range of temperatures from (298.15 to 353.15) K and for the entire range of the mole fractions. The estimated uncertainty in the measured values of the molar heat capacity and molar excess enthalpy was found to be +/- 2%. Among the five amines studied, 3-MOPA had the highest values of the molar heat capacity and 1-MPZ the lowest. Values of molar heat capacities of amines were dominated by --CH 2, --N, --OH, --O, --NH2 groups and increased with increasing temperature, and contributions of --NH and --CH 3 groups decreased with increasing temperature for these cyclic amines. Molar excess heat capacities were calculated from the measured molar heat capacities and were correlated as a function of the mole fractions employing the Redlich-Kister equation. The molar excess enthalpy values were also correlated as a function of the mole fractions employing the Redlich-Kister equation. Molar enthalpies at infinite dilution were derived. Molar excess enthalpy values were modeled using the solution theory models: NRTL (Non Random Two Liquid) and UNIQUAC (UNIversal QUAsi Chemical) and the modified UNIFAC (UNIversal quasi chemical Functional group Activity Coefficients - Dortmund). The modified UNIFAC was found to be the most accurate and reliable model for the representation and prediction of the molar excess enthalpy values. Among the five amines, the 1-MPZ + water system exhibited the highest values of molar excess enthalpy on the negative side. This study confirmed the conclusion made by Maham et al. (71) that -CH3 group contributed to higher molar excess enthalpies. The negative excess enthalpies were reduced due to the contribution of --O and --OH groups in 3-MOPA; 1, 2-HEPZ and 4, 2-HEMO. Conclusions made by Maham et al. (71 ) stating that the interaction between water (--OH group) and diethylamine (--NH group) was more dominant than the interactions between --OH groups from water and alcohol molecules were supported by this study for cyclic amines.

  4. comparison of nasal patency following submucosal diathermy of inferior turbinate versus inferior turbinectomy

    To compare the nasal patency following sub mucosal diathermy (SMD) of inferior turbinate and inferior turbinectomy (IT). Study Design: Randomized controlled trial. Place and Duration of Study: Department of ENT Combined Military Hospital Rawalpindi. Study was completed in one year from 15th September 2009 to 15th September 2010. Subjects: Total 160 patients with symptomatic inferior turbinate hypertrophy were included in the study. Patients were randomly divided into two groups of 80 each using random numbers table. Group A underwent submucosal diathermy (SMD) of inferior turbinate where as Group B underwent inferior turbinectomy (IT). Post-operative nasal patency was judged after 03 weeks by visual analog scale (VAS). Results: Both the groups are comparable with respect to age and gender. Post-operative nasal patency is significantly better in group B as compared to group A. Conclusion: IT is a more effective method to improve nasal patency as compared to SMD in case of inferior turbinate hypertrophy. (author)

  5. Pulpotomas de molares temporales en pulpas muertas con tintura de propleos al 10% Pulpotomies of dead pulps in temporal molars using 10% propolis tinction.

    Walkyria del Carmen Gonzlez Rodrguez

    2007-09-01

    Full Text Available Se realiz un ensayo clnico fase II aleatorizado comparado en 50 nios de 4 a 10 aos que presentaron molares temporales con muerte pulpar, los cuales acudieron a la Clnica Estomatolgica Provincial de Santiago de Cuba entre septiembre del 2005 y septiembre del 2006, con el objetivo de demostrar la eficacia de la tintura de propleos al 10 % en pulpotomas (necropulpotomas. Se conformaron 2 grupos de tratamientos de 26 pacientes cada uno: en el grupo A se emple tintura de propleos al 10 % y en el B el formocresol. Los pacientes se evaluaron a los 7, 15 y 30 das, sin observarse diferencias ni reacciones adversas. El grupo dentario ms tratado fue el constituido por los segundos molares temporales inferiores, donde la tintura de propleos al 10 % en las pulpotomas, result ser tan eficaz como el formocresol, por lo que se recomienda incluir en tratamientos endodnticos esta nueva teraputica.A comparative phase II randomized clinical assay of 50 children aged 4 to 10 years, who presented with temporal molars with dead pulp and were seen at the Provincial Dental Clinic of Santiago de Cuba from September 2005 to September 2006, was conducted to confirm the effectiveness of 10% propolis tinction in pulpotomies (necropulpotomies. Two groups of 26 patients were formed; group A used 10% propolis tinction and group B was treated with formocresol. The patients were evaluated at 7th , 15th and 30th days; neither difference nor adverse reaction was observed. The most treated dental group was the second lower temporal molars where 10% propolis tinction in pulpotomies proved to be as effective as formocresol, so it was recommended to include this new therapy in the endodontic treatment.

  6. Distalización de molares

    Ana María García Jiménez

    2016-01-01

    Full Text Available La distoclusión es una anomalía que alcanza a más de la mitad de los pacientes ortodóncicos, entre sus causas se encuentra la mesogresión de molares superiores. Una opción terapéutica es la distalización molar, cuando se considera la corrección sin extracciones. Se presenta el caso de un paciente remitido desde la atención primaria de salud, con relación molar de distoclusión derecha, neutroclusion izquierda, resalte de seis milímetros y sobrepase corona completa. Previa confección de modelos de estudio e indicación de estudio radiográfico, se procedió a la corrección ortodóncica con la placa Cetlin, a la que se le realizaron algunas modificaciones. Se corrigió la distoclusión del primer molar permanente superior derecho hasta la neutroclusión; además del espacio requerido para el acomodamiento del canino superior derecho, se logró la corrección del sobrepase hasta un tercio de corona y se mejoró el resalte de seis a cuatro milímetros.

  7. Determination of Biotin: Antibody Molar Ratio

    The determination of the biotinylation yield (number of biotin molecules per molecule of antibody) is important to ensure that the MAb has maintained its immunoreactivity. If the biotinylation of the MAb is carried out with a molar ratio of biotin:antibody ~10:1, then the number of biotins per MAb usually ranges between 6 and 8

  8. Molar extinction coefficients of some fatty acids

    Sandhu, G.K.; Singh, K.; Lark, B.S.; Gerward, Leif

    2002-01-01

    ) and stearic acid (C18H36O2), has been measured at the photon energies 81, 356, 511, 662, 1173 and 1332 keV. Experimental values for the molar extinction coefficient, the effective atomic number and the electron density have been derived and compared with theoretical calculations. There is good...

  9. Stepwise excavation in a permanent molar

    Lima, Fernanda Ferruzzi; Pascotto, Renata Corra; Benetti, Ana Raquel

    2010-01-01

    The current study presents a 17-year clinical report of stepwise excavation and indirect pulp capping in a lower right first molar, with great dentin destruction and a lack of dentin support of the cusps. At the first appointment, indirect pulp capping with calcium hydroxide and a temporary filli...

  10. Clostridium perfringens sepsis following a molar pregnancy.

    Adams, Brandi N; Lekovic, Jovana P; Robinson, Suzzette

    2014-01-01

    Clostridium perfringens sepsis is rare since the legalization of abortion in 1973. This is a 49 year old female who developed clostridial sepsis after suction dilation and curettage for a molar pregnancy. A hysterectomy was performed after prompt recognition, and the patient survived. PMID:24096275

  11. Selective alveolar corticotomy to intrude overerupted molars.

    Oliveira, Dauro Douglas; de Oliveira, Bruno Franco; de Arajo Brito, Helio Henrique; de Souza, Margareth Maria Gomes; Medeiros, Paulo Jos

    2008-06-01

    Orthodontic intrusion of overerupted molars in adults is challenging for most clinicians. Efficient intrusion can be achieved by combining selective alveolar corticotomies with a modified full-coverage maxillary splint to reduce surgical risks, treatment time, and costs for both orthodontists and patients. PMID:18538256

  12. Evaluación del distalador molar Belussi Evaluation of Belussi's molar distalizer

    Samer Abdel Nour Khoury

    2008-12-01

    Full Text Available La distalización de los molares superiores en mesogresión es una alternativa de tratamiento muy utilizado en nuestros días. Se conocen muchos métodos de distalización molar, estos han evolucionado notablemente y siguen siendo eficaces en el tratamiento. El objetivo de esta investigación fue evaluar los cambios dentales producidos por el distalador molar Belussi. El aparato fue empleado en 11 pacientes con una edad promedio de 12 años, distoclusión de molares causada por mesogresión, y con tipo facial favorable. A cada uno se le confeccionaron modelos de estudio y se le realizaron fotografías, radiografías panorámicas y telerradiografías laterales de cráneo, antes y después del tratamiento, para analizar las variables objeto de estudio. El aparato se mantuvo en boca hasta lograr un sobretratamiento de la relación molar. Finalmente, se obtuvo una distalización molar de 4,45 mm acompañada de una inclinación de 5,55°, con una pérdida mínima de anclaje temporal.The distalization of the superior molars in mesial migration is a useful alternative treatment nowadays. Many methods of molar distalization are known. They have significantly evolved and they are still effective in the treatment. The objective of this investigation was to evaluate the dental changes produced by Belussi Molar Distalizer. The appliance was used in 11 patients with an average of 12 years-old, distoocclusion of molars caused by mesial migration and with a favorable facial type. Study models were made for each one of them and pictures, panoramic x-rays and lateral X-rays of the skull were taken, before and after the treatment, to analyze the variables object of study. The appliance was kept in the mouth until achieving an overtreatment of the molar relation. Finally, a molar distalization of 4.45 mm accompanied with an inclination of 5.55° was obtained, with a minimum loss of temporary anchorage.

  13. Effect of Preoperative Pain on Inferior Alveolar Nerve Block.

    Aggarwal, Vivek; Singla, Mamta; Subbiya, Arunajatesan; Vivekanandhan, Paramasivam; Sharma, Vikram; Sharma, Ritu; Prakash, Venkatachalam; Geethapriya, Nagarajan

    2015-01-01

    The present study tested the hypothesis that the amount and severity of preoperative pain will affect the anesthetic efficacy of inferior alveolar nerve block (IANB) in patients with symptomatic irreversible pulpitis. One-hundred seventy-seven adult volunteer subjects, actively experiencing pain in a mandibular molar, participated in this prospective double-blind study carried out at 2 different centers. The patients were classified into 3 groups on the basis of severity of preoperative pain: mild, 1-54 mm on the Heft-Parker visual analog scale (HP VAS); moderate, 55-114 mm; and severe, greater than 114 mm. After IANB with 1.8 mL of 2% lidocaine, endodontic access preparation was initiated. Pain during treatment was recorded using the HP VAS. The primary outcome measure was the ability to undertake pulp access and canal instrumentation with no or mild pain. The success rates were statistically analyzed by multiple logistic regression test. There was a significant difference between the mild and severe preoperative pain group (P = .03). There was a positive correlation between the values of preoperative and intraoperative pain (r = .2 and .4 at 2 centers). The amount of preoperative pain can affect the anesthetic success rates of IANB in patients with symptomatic irreversible pulpitis. PMID:26650491

  14. Root fusion in molars: incidence and sex linkage.

    Ross, I F; Evanchik, P A

    1981-11-01

    The study was done to determine the incidence and distribution of root fusion in 1340 maxillary and mandibular molars in 170 patients. A second objective was to determine whether root fusion of molars is sex-linked. A substantial percentage, 29% of all molars, had fused roots. Root fusion was found more frequently in maxillary than mandibular molars, 35% to 24%, and it occurred in many patients, rather than being limited to a few. Root fusion was most common in third molars, followed by second molars, in both jaws. It occurred in almost equal numbers in corresponding molars of opposite sides, approaching bilateral symmetry. The proportion of molars with root fusion was approximately 5% greater in females than in males, and about 13% more females had molar root fusion than males. PMID:6946206

  15. Prdida del primer molar permanente en nios de 6-12 aos de edad. Coln. 2013 / First permanent molar lost in children aged 6-12 years. Colon. 2013

    Belkis, Reyes Martn; Marisol, Cuyac Lantigua; Belkis, Alfonso Biart; Magaly, Mirabal Pen; Mara V, Duque Reyes; Yanetsy, Snchez Alvarado.

    2015-06-01

    Full Text Available El primer molar permanente es una de las estructuras dentarias ms importantes para el desarrollo de una oclusin fisiolgica y una adecuada funcin masticatoria, estos dientes desempean un papel primordial en el desarrollo y mantenimiento de una oclusin dentaria apropiada, son muy susceptibles a [...] la caries dental, despus de su erupcin, alrededor de los 6 aos. Se realiz un estudio observacional, descriptivo, transversal en la escuela Ren Fraga Moreno del municipio Coln, provincia de Matanzas con el objetivo de determinar la prdida del primer molar permanente en los nios de 6 a 12 aos, en el periodo comprendido de noviembre del 2012 a enero del 2013. El universo fue 395 estudiantes comprendidos en las edades 6-12 aos, la muestra la conformaron 41 nios con,al menos, la prdida de uno de los cuatro primeros molares. Como resultado, prevalecieron los de 12 aos, con los primeros molares ausentes, representando el 31.7 %; el sexo masculino fue el ms representado con 65,8 %, el grupo de edad de 12 aos present un 61.5 % de estudiantes con higiene bucal inadecuada. Se observ que un 87.8 % de los estudiantes estudiados consuman dieta cariognica, el primer molar que ms ausente se encontr en la boca de estos nios fue el primer molar inferior derecho con 60.9 %. Esta afeccin afect ms al sexo masculino. Predomin la higiene bucal inadecuada. En todas las edades prevaleci la dieta cariognica. El primer molar inferior derecho fue el que ms se ausent en la boca de estos nios. Abstract in english The first permanent molar is one of the most important dental structures for the development of a physiologic occlusion and an adequate masticatory function; these teeth play an important role in the development and maintenance of an appropriate dental occlusion; they are very predisposed to dental [...] caries after their eruption, around the age of 6 years. A cross-sectional, descriptive, observational study was carried out in the school Rene Fraga Moreno, of Colon municipality, province of Matanzas, with the aim of determining the first permanent molar lost in children aged 6-12 years, in the period from November 2012 to January 2013. The universe were 395 schoolchildren aged 6-12 years; the sample was composed by 41 children, with at least the lost of one of the four first molars. As a result there it was the prevalence of children aged 12 years, with the absence of the first molars, representing 31, 7 %; the male gender was the most represented one with 65, 8 %, and the 12 years age group presented 61, 5 % of students with inadequate buccal hygiene. We observed that 87, 8 % of the studied schoolchildren had a cariogenic diet; the more frequently absent first molar was the first right low molar with 60. 9 %. The male gender was the most affected by this disorder. The inadequate buccal hygiene predominated. The cariogenic diet prevailed in all ages. The first right low molar was the most frequently found lost in the mouth of these children.

  16. Actitud teraputica ante sacos foliculares de terceros molares includos Therapeutic approach to impacted third molar follicles

    R. Gonzlez Garca

    2005-04-01

    Full Text Available El quiste dentgero o folicular es un quiste odontognico del desarrollo. Est revestido por el epitelio del folculo dentario, y suele estar en relacin con un diente permanente includo. Presentamos el caso clnico de un paciente en el que se observa la aparicin de un quiste dentgero a partir del saco folicular de un tercer molar includo no exodonciado, y lo comparamos con la evolucin de un cordal includo y su saco folicular contralaterales en los que se realiz la exodoncia. El tratamiento definitivo del quiste dentgero asociado a un tercer molar includo es quirrgico, con la exodoncia de la pieza y enucleacin del quiste. Los sacos foliculares mayores de 2 mm asociados a terceros molares includos evolucionan en numerosas ocasiones a quistes foliculares. Est indicada la exodoncia de dichos cordales para evitar la evolucin a quiste dentgero.The dentigerous cyst or follicular cyst is a developmental odontogenic cyst. It is covered by the epithelium of the dental follicle, and it tends to be related to an impacted permanent tooth. The case report of a patient who was seen to develop a dentigerous cyst arising from the follicle of an impacted non-extracted third molar is presented. This is then compared with the evolution of the contralateral impacted third molar and its follicle that was extracted. The definitive treatment for a dentigerous cyst associated with an impacted third molar is surgical, the extraction of the tooth and enucleation of the cyst. Follicles measuring more+ than 2 mm and that are associated with impacted third molars often develop into follicular cysts. The extraction of these third molars is indicated in order to avoid the development of a dentigerous cyst

  17. Angle Class II, subdivision, with agenesis of mandibular second molars and extrusion of maxillary second molars *

    Tavares, Rubens Rodrigues

    2015-01-01

    This clinical case reports the treatment of an Angle Class II malocclusion in a young woman with a balanced face affected by agenesis of second and third mandibular molars and subsequent extrusion of second maxillary molars. The atypical and peculiar occlusal anomaly led to individualized treatment proposed in order to normalize dental malpositions, with subsequent rehabilitation of edentulous areas by means of a multidisciplinary approach. This case was presented to the Brazil...

  18. Actitud teraputica ante sacos foliculares de terceros molares includos / Therapeutic approach to impacted third molar follicles

    R., Gonzlez Garca; V., Escorial Hernndez; A., Capote Moreno; P.L., Martos Daz; J., Sastre Prez; F.J., Rodrguez Campo.

    2005-04-01

    Full Text Available El quiste dentgero o folicular es un quiste odontognico del desarrollo. Est revestido por el epitelio del folculo dentario, y suele estar en relacin con un diente permanente includo. Presentamos el caso clnico de un paciente en el que se observa la aparicin de un quiste dentgero a partir de [...] l saco folicular de un tercer molar includo no exodonciado, y lo comparamos con la evolucin de un cordal includo y su saco folicular contralaterales en los que se realiz la exodoncia. El tratamiento definitivo del quiste dentgero asociado a un tercer molar includo es quirrgico, con la exodoncia de la pieza y enucleacin del quiste. Los sacos foliculares mayores de 2 mm asociados a terceros molares includos evolucionan en numerosas ocasiones a quistes foliculares. Est indicada la exodoncia de dichos cordales para evitar la evolucin a quiste dentgero. Abstract in english The dentigerous cyst or follicular cyst is a developmental odontogenic cyst. It is covered by the epithelium of the dental follicle, and it tends to be related to an impacted permanent tooth. The case report of a patient who was seen to develop a dentigerous cyst arising from the follicle of an impa [...] cted non-extracted third molar is presented. This is then compared with the evolution of the contralateral impacted third molar and its follicle that was extracted. The definitive treatment for a dentigerous cyst associated with an impacted third molar is surgical, the extraction of the tooth and enucleation of the cyst. Follicles measuring more+ than 2 mm and that are associated with impacted third molars often develop into follicular cysts. The extraction of these third molars is indicated in order to avoid the development of a dentigerous cyst

  19. Root and Root Canal Morphology of Human Third Molar Teeth.

    Mohammadi, Zahed; Jafarzadeh, Hamid; Shalavi, Sousan; Bandi, Shilpa; Patil, Shankargouda

    2015-04-01

    Successful root canal treatment depends on having comprehensive information regarding the root(s)/canal(s) anatomy. Dentists may have some complication in treatment of third molars because the difficulty in their access, their aberrant occlusal anatomy and different patterns of eruption. The aim of this review was to review and address the number of roots and root canals in third molars, prevalence of confluent canals in third molars, C-shaped canals, dilaceration and fusion in third molars, autotransplantation of third molars and endodontic treatment strategies for third molars. PMID:26067735

  20. An innovative technique to distalize maxillary molar using microimplant supported rapid molar distalizer

    Meenu Goel

    2013-01-01

    Full Text Available Introduction: In recent years, enhancements in implants have made their use possible as a mode of absolute anchorage in orthodontic patients. In this paper, the authors have introduced an innovative technique to unilaterally distalize the upper left 1 st molar to obtain an ideal Class I molar relationship from a Class II existing molar relationship with an indigenous designed distalizer. Clinical Innovation: For effective unilateral diatalization of molar, a novel cantilever sliding jig assembly was utilized with coil spring supported by a buccally placed single micro implant. The results showed 3 mm of bodily distalization with 1 mm of intrusion and 2° of distal tipping of upper left 1 st molar in 1.5 months. Discussion: This appliance is relatively easy to insert, well-tolerated, and requires minimal patient cooperation compared to other present techniques of molar distalization. Moreover, it is particularly useful in cases that are Class II on one side and Class I on the other, with a minor midline discrepancy and nominal overjet. Patient acceptance level was reported to be within patients physiological and comfort limits.

  1. Relationship between molar root fusion and localized periodontitis.

    Hou, G L; Tsai, C C; Huang, J S

    1997-04-01

    We investigated the relationship between molar root fusion and localized periodontitis in this study. A total of 143 individuals (1,109 molars) aged 23 to 68 years were examined for the presence of molar root fusion at diseased and healthy sites. Molar root fusions were diagnosed by periapical radiographs and clinical probing. Periodontal parameters measured included probing depth (PD), clinical attachment loss (CAL), gingival index (GI), and plaque index (PLI) around fused molars. Results indicated that the prevalence of molar root fusions in males and females was 15.2% (93/612) and 32.2% (160/497), respectively. The distribution of molars with root fusions occurs in the following order: maxillary second molars (51.8%), mandibular second molars (32.3%), maxillary first molars (5.7%), and mandibular first molars (0%). Statistically significant differences were observed between molar root fusions at healthy and diseased sites with respect to PLI, GI, PD, and CAL. The highest prevalence of molar root fusion was observed in females. PMID:9150035

  2. Intra-sinusal third molar: Case report

    Frederico Sampaio Neves

    2011-01-01

    Full Text Available Ectopic tooth eruption into an area other than the oral cavity is rare. Nasal septum, mandibular condyle, coronoid process and infratemporal fossa space have been reported as frequent locations for ectopic tooth eruption. Ectopic teeth located within the maxillary sinus may be asymptomatic, found only in routine examinations. Headache, sinusitis and nasal obstruction are some of the associated symptoms. The differential diagnosis includes foreign bodies (rhinolith, infections (syphilis and tuberculosis, benign lesions (hemangioma, osteoma, calcifi ed polyp and malign lesions (osteosarcoma. Upper third molars located within the maxillary sinus may be associated with the development of mucocele or dentigerous cyst. The aim of this paper was to describe the case of a 24-year old female patient with an ectopic right upper third molar in the maxillary sinus. A hyperdense area was observed with sinus obliteration, consistent with mucous material.

  3. Dens in dente of maxillary third molar

    Subramaniam Arun

    2008-01-01

    Full Text Available ?Dens in dente,? also known as dens invaginatus, is a developmental anomaly resulting from deepening or invagination of the enamel organ into the dental papilla, which begins at the crown and often extends to the root before calcification of the dental tissues. Dens in dente commonly occur in the maxillary lateral incisor. This article reports a case of dens in dente in the maxillary third molar.

  4. Breast Reconstruction: Deep Inferior Epigastric Perforator

    Full Text Available ... tough decisions these and other women made after learning they had breast cancer. You will also see the breast reconstruction surgery each of them chose to undergo. The deep inferior epigastric perforator flap technique allows surgeons to rebuild breasts in the most ...

  5. Breast Reconstruction: Deep Inferior Epigastric Perforator

    Full Text Available ... muscles. So if we go back to the original diagram here, you'd see that the lower blood supply, which is the deep inferior epigastric artery and vein, comes up from underneath the muscle and perforates it with small vessels that go into this tissue. So we have the other option of detaching ...

  6. Breast Reconstruction: Deep Inferior Epigastric Perforator

    Full Text Available ... WOMAN 3: And, yes, the person who said to me it's awful to wake up without a breast. 00:00:41 ... the breast reconstruction surgery each of them chose to undergo. The deep inferior epigastric perforator flap technique ...

  7. Breast Reconstruction: Deep Inferior Epigastric Perforator

    Full Text Available ... that the lower blood supply, which is the deep inferior epigastric artery and vein, comes up from underneath the muscle ... the vein but there isn't an adequate artery, so usually in that setting, we'll proceed as planned ... perforator technique. 00:18:40 WILLIAM SAMSON, MD: ...

  8. A case of inferior lumbar hernia

    Vidhyasagar M. Sharma

    2013-02-01

    Full Text Available In this article we report a case of inferior lumbar hernia. The patient underwent preperitoneal meshplasty. The patient is well on follow up with no recurrence. The relevant literature has been reviewed and management discussed in brief. [Int J Res Med Sci 2013; 1(1.000: 33-35

  9. Positional changes of the third molar in orthodontically treated patients

    Mihai, AM; Lulache, IR; Grigore, R; Sanabil, AS; Boiangiu, S; Ionescu, E

    2013-01-01

    Objective and Rationale. Over the years, the effects of the third molars eruption on the dental arches have been studied extensively. Still, literature provides less data regarding the effects of the orthodontic treatment on the third molars position. The aim of our study was to assess the positional changes of the third molars relative to the occlusal plane and to the second molar long axis, changes occurred during orthodontic treatment performed with or without premolar extractions.

  10. Litterfall, litter decomposition and nitrogen mineralization in old-growth evergreen and secondary deciduous Nothofagus forests in south-central Chile Aporte, descomposición de hojarasca y mineralización de nitrógeno en bosques siempreverdes de antiguo crecimiento y bosques secundarios deciduos, centro-sur de Chile

    JEROEN STAELENS

    2011-03-01

    Full Text Available South Chilean forest ecosystems represent one of the largest areas of old-growth temperate rainforests remaining in the Southern hemisphere and have a high ecological value, but suffer from deforestation, invasion by exotic species, fragmentation, and increasing atmospheric nitrogen (N deposition. To support sustainable forest management, more knowledge is required on nutrient cycling of these ecosystems. Therefore, a descriptive study of nutrient dynamics was done in four Valdivian rainforests in the lower Andes range of south Chile: old-growth and altered evergreen stands and unmanaged and managed secondary deciduous stands. Time series were measured for (i mass (four year and nutrient content (N, K, Ca, and Mg; one year of litterfall, (ii decomposition and nutrient dynamics (N, C, K, Ca, Mg, and P; one year of leaf litter and Saxegothaea conspicua bark litter, and (iii in situ topsoil net N mineralization (one year. Litterfall in the four stands ranged from 3.5 to 5.8 ton ha-1 yr-1, was temporarily lower in the managed than in the unmanaged deciduous stand and had a different seasonality in the evergreen stands than in the deciduous stands. Leaf litter decomposed faster (on average 32 % mass loss after one year than bark litter (8 % but without significant differences between leaf litter types. Net N in evergreen leaf litter decreased during decomposition but increased in deciduous leaf litter. Net soil N mineralization was fastest in the pristine evergreen stand, intermediate in the deciduous stands and slowest in the altered evergreen forest. Given the absence of replicated stands, the definite impact of forest type or management regime on the internal nutrient cycling cannot be demonstrated. Nevertheless, the results suggest that management can affect nutrient turnover by altering species composition and forest structure, while recent (five years selective logging in secondary deciduous forest did not affect litter decomposition or N mineralization rates in the present study.Los ecosistemas forestales del sur de Chile presentan un gran valor ecológico pues constituyen una de las mayores áreas del hemisferio Sur con existencias de bosques templados lluviosos. Están sometidos a procesos de deforestación, invasión de especies exóticas, fragmentación e incremento de depositación de nitrógeno (N atmosférico. Para apoyar su manejo sustentable se requiere de mayor conocimiento en el ciclo de nutrientes de estos ecosistemas. Se estudia la dinámica de nutrientes en cuatro sitios de bosques lluviosos valdivianos de la precordillera de los Andes, centro-sur de Chile: un bosque siempreverde de antiguo crecimiento prístino y otro alterado, un bosque caducifolio secundario con manejo silvícola y otro sin. Durante el período octubre 2002 -septiembre 2006, se estimaron (i masa de la hojarasca (cuatro años y contenido de nutrientes de la hojarasca (un año, (ii descomposición y dinámica de nutrientes de hojarasca (un año y de la corteza de Saxegothaea conspicua, y (iii mineralización neta de nitrógeno (N-min en el suelo in situ (un año. El aporte de hojarasca en los cuatro sitios fluctúa desde 3.5 hasta 5.8 ton ha-1 año-1, y es temporalmente menor en bosque caducifolio manejado, respecto del caducifolio sin manejo. Además, presentan una estacionalidad en los siempreverdes que es diferente, respecto de los deciduos. La hojarasca se descompone más rápidamente (promedio 32 % pérdida de masa después de un año que la corteza (8 %, pero no se presentaron diferencias significativas en la hojarasca. El N neto en la hojarasca de los bosques siempreverdes disminuye durante la descomposición, pero se incrementa en la hojarasca de los deciduos. La N-mineralización neta del suelo fue completa en el bosque siempreverde prístino, intermedia en los bosques deciduos y el más baja en el bosque siempreverde alterado. Dada la ausencia de réplicas en las parcelas, no puede ser demostrado el impacto definido del tipo de bosque o régimen de manejo en el ciclo interno de nutrientes. Sin embargo, los resultados sugieren que el manejo silvícola puede afectar el reciclaje de nutrientes por la alteración en la composición de especies y estructura del bosque, aun cuando en el bosque secundario deciduo una extracción selectiva de madera en tiempo reciente (cinco años, no afecta la descomposición de la hojarasca o los montos de mineralización del nitrógeno.

  11. Enzyme Molar Fractions: A Powerful Tool for Understanding Enzyme Kinetics.

    Serra, Juan L.; And Others

    1986-01-01

    Deduces the relationship between reduced velocity and molar fractions for productive enzyme complexes; obtains the mathematical expression of molar fractions for an enzyme with two specific binding sites per molecule; and proposes a useful plot to follow the dependence of enzyme molar fractions with the concentration of one of its ligands. (JN)

  12. Accidental injury of the inferior alveolar nerve due to the extrusion of calcium hydroxide in endodontic treatment: a case report

    2016-01-01

    During clinical endodontic treatment, we often find radiopaque filling material beyond the root apex. Accidental extrusion of calcium hydroxide could cause the injury of inferior alveolar nerve, such as paresthesia or continuous inflammatory response. This case report presents the extrusion of calcium hydroxide and treatment procedures including surgical intervention. A 48 yr old female patient experienced Calcipex II extrusion in to the inferior alveolar canal on left mandibular area during endodontic treatment. After completion of endodontic treatment on left mandibular first molar, surgical intervention was planned under general anesthesia. After cortical bone osteotomy and debridement, neuroma resection and neurorrhaphy was performed, and prognosis was observed. But no improvement in sensory nerve was seen following surgical intervention after 20 mon. A clinician should be aware of extrusion of intracanal medicaments and the possibility of damage on inferior alveolar canal. Injectable type of calcium hydroxide should be applied with care for preventing nerve injury. The alternative delivery method such as lentulo spiral was suggested on the posterior mandibular molar. PMID:26877992

  13. The bihemispheric posterior inferior cerebellar artery

    Rarely, a solitary posterior inferior cerebellar artery (PICA) will supply both cerebellar hemispheres. We report four cases of this variant. We present a retrospective review of clinical information and imaging of patients undergoing angiography at our institution to identify patients with a bihemispheric PICA. There were four patients: three males and one female. One patient presented with a ruptured arteriovenous malformation, and one with a ruptured aneurysm. Two patients had normal angiograms. The bihemispheric PICA was an incidental finding in all cases. The bihemispheric vessel arose from the dominant left vertebral artery, and the contralateral posterior inferior cerebellar artery was absent or hypoplastic. In all cases, contralateral cerebellar supply arose from a continuation of the ipsilateral PICA distal to the choroidal point and which crossed the midline dorsal to the vermis. We conclude that the PICA may supply both cerebellar hemispheres. This rare anatomic variant should be considered when evaluating patients with posterior fossa neurovascular disease. (orig.)

  14. CT appearance of pneumatized inferior turbinate

    Aim: To study the computed tomography (CT) features of pneumatized inferior turbinate (PIT). Materials and methods: A retrospective review of paranasal sinus CT over a period of 12 years showed 16 cases of PIT. The pneumatization pattern was analysed according to the classification proposed by Bolger. Pneumatization was classified into three types: bulbous, lamellar, and extensive. Results: Fourteen patients had unilateral and two patients had bilateral pneumatization (n = 18). Seven (39%) of the 18 PIT were bulbous, nine (50%) were lamellar, and two (11%) were of the extensive type. In eight (44%) cases there was communication between the medial wall of the maxillary sinus and the PIT. Conclusions: The features of PIT can be readily identified on CT. Imaging helps clinicians to differentiate PIT from other causes of the inferior turbinate hypertrophy or complications

  15. Molar Pregnancy Presents as Tubal Ectopic Pregnancy

    Fatemeh Davari Tanha

    2011-01-01

    Full Text Available Hydatidiform moles are abnormal gestations characterized by the presence of hydropic changesaffecting some or all of the placental villi. Hydatidiform moles arise as a result of the fertilizationof an abnormal ovum. In this report, the patient was a 29 year old Asian woman who had inductionof ovulation with letrozol. Since the majority of molar gestations arise within the uterine cavitythus the occurrence of a hydatidiform mole within ectopic gestational tissue is rare. It is importantto differentiate a hydatidiform mole from a conventional ectopic pregnancy, particularly in infertilewomen who have a history of ovulation induction.

  16. Does Wal-Mart Sell Inferior Goods?

    Emek Basker

    2008-01-01

    I estimate the aggregate income elasticity of Wal-Mart's and Target's revenues using quarterly data for 1997-2006. I find that Wal-Mart's revenues increase during bad times, whereas Target's revenues decrease, consistent with Wal-Mart selling "inferior goods" in the technical sense of the term. An upper bound on the aggregate income elasticity of demand for Wal-Mart's wares is -0.5.

  17. Radiologic study of mandibular third molar of Korean youths

    The author has made a study on the classification of the mandibular 3rd molars of Korean youths through dental radiography by means of Pell and Gregory's classification and on the prevalence of the dental caries of distal surface of the mandibular 2nd molar adjacent to the mandibular 3rd molars turned anteriorly. The results are as follow; 1. It was found that the largest case number was class I (272 cases, 52.9%) in the relation of the tooth to the ramus of the mandible and 2nd molar. 2. The mesio-angular position was the largest number (239 cases, 46.5%) in the relation of the long axis of the impacted mandibular 3rd molar to the long axis of the 2nd molar. 3. The mesio-angular position of class I was the largest number (140 cases, 27.2%) in the relation of the tooth to the ramus of the mandible and 2nd molar and the long axis of the impacted mandibular 3rd moral to the long axis of the 2nd molar. 4. The average angle of the long axis of mandibular 3rd molar in mesioangular position or horizontal position to the occlusal plane was 143 W 5. Mandibular 3rd molar with lesion such as dental cries or pericoronitis was 73 cases (14.2). 6. The caries incidence rate of the distal surface of the 2nd molar was about 3.1%.

  18. An alternative approach to extruding a vertically impacted lower third molar using an orthodontic miniscrew: A case report with cone-beam CT follow-up

    Cortes, Arthur Rodriguez Gonzalez; No-Cortes, Juliana; Cavalcanti, Marcelo Gusmão Paraíso; Arita, Emiko Saito

    2014-01-01

    One of the most common oral surgical procedures is the extraction of the lower third molar (LTM). Postoperative complications such as paresthesia due to inferior alveolar nerve (IAN) injury are commonly observed in cases of horizontal and vertical impaction. The present report discusses a case of a vertically impacted LTM associated with a dentigerous cyst. An intimate contact between the LTM roots and the mandibular canal was observed on a panoramic radiograph and confirmed with cone-beam co...

  19. The extent of axonal exposure and axo-axonal apposition in the non-myelinated nerve fibres of peripheral nerve trunks and their dependence on buffer molarity.

    Holland, G R

    1982-01-01

    Nineteen rats were perfused intracardially with a 2% glutaraldehyde solution in cacodylate buffers adjusted in molarity from 0 to 0 . 4 m. Ultrathin sections of the inferior alveolar nerve were photographed in the electron microscopy. From prints of unmyelinated nerve fibres, the following measurements were made: axon circumference, the proportion of axons which were incompletely covered by the Schwann cell and the extent of this 'exposure', the proportion of axons which were apparently in co...

  20. The inferior alveolar artery in the mandibular canal

    The present study investigated the course of the inferior alveolar artery (IAA) of the mandibular canal (MC), as well as morphological structure of the vascular wall, and the effects of Co-60 gamma irradiation on it. Male Sprague-Dawley strain 7-week-old rats were used as experimental animals. Histopathological changes in the vascular wall were observed by both light and electron microscopy. A single gamma irradiation of 17.82 Gy (TDF 100), 27.97 Gy (TDF 200), or 36.41 Gy (TDF 300) was given to the mandibular area. The IAA/MC ratio on the cross section was 3.4% at the mandibular foramen, 0.1% at the area between the second and third molar teeth, and 0.1% at the mental foramen. The corresponding diameters for these sites were 100 μm, 30 μm, and 20 μm. Morphological examination revealed IAA to be the muscular type of artery. Trichrome staining revealed three layers, including the lamina intima (1.4 μm), lamina media (13.3 μm), and lamina adventitia (11.2 μm). Dilatation of IAA occurred immediately after irradiation, followed by marked contraction on Day 3 after irradiation in the 17.82 Gy group, on Day 5 in the 27.97 Gy group, and on Day 7 in the 36.41 Gy group. During the period between Weeks 2 and 7, however, the 17.82 Gy group showed IAA dilatation. None of radiation injuries, such as rupture, necrosis and stenosis, was seen, but both vacuolation of the lamina intima and media, and irregular arrangement of the fibrous layer were seen. The vasculonervous bundle in MC seemed to be supported with fibrous connective tissues, suggesting an effective buffer effect on the dilatation of the vascular wall and the resistance to traumatic injuries. (N.K.)

  1. Má oclusão Classe I de Angle tratada com extrações de primeiros molares permanentes Angle Class I malocclusion treated with extraction of first permanent molars

    Ivan Tadeu Pinheiro da Silva

    2010-01-01

    A má oclusão Classe I de Angle é caracterizada por uma relação anteroposterior normal nos molares, que pode ou não estar acompanhada por alterações esqueléticas - nos planos vertical ou transverso - ou dentárias. A biprotrusão, revelada pela inclinação acentuada dos incisivos superiores e inferiores para vestibular, somada ao trespasse horizontal excessivo, faz com que o paciente fique mais exposto a traumas dentários, além de causar comprometimento estético. A escolha dos dentes a serem extr...

  2. Morphological changes related to age in mesial root canals of permanent mandibular first molars

    Omar A, Gani; Claudio F, Boiero; Carolina, Correa; Ivana, Masin; Ricardo, Machado; Emmanuel JNL, Silva; Luiz Pascoal, Vansan.

    2014-12-01

    Full Text Available O objetivo do presente estudo foi avaliar as alteracoes morfologicas relacionadas com a idade em canais radiculares mesial de primeiros molares inferiores. Cinquenta e seis especimes foram selecionados para este estudo. Os especimes foram distribuidos em quatro grupos etarios (n. 14): a) Grupo de cr [...] iancas menores de 13 anos, b) grupo de adolescentes (de 14 a 19 anos), c) Grupo de jovens adultos (de 20 a 39 anos ) e d) Grupo de adultos (acima de 40 anos). Apos as extracoes os elementos foram cuidadosamente limpos, esterilizados, identificadas e armazenadas em agua. A fim de melhorar a limpeza, foram colocados numa solucao de hipoclorito de sodio a 1%, durante quatro horas e enxaguados em 10 vol. peroxido de hidrogenio durante 8 horas. Depois, uma tecnica de diafanizacao foi realizada para ilustrar a anatomia do canal radicular. As imagens digitalizadas de todas as amostras foram obtidas atraves da utilizacao de um estereoscopio. Os canais foram visivelmente mais simples em adultos mais velhos: eles foram bem definidas e estreito, por vezes, demasiado estreito. Nucleo de calcificacao nao foi encontrado e havia apenas alguns restos de espacos internucleares. O sistema de canal apareceu mais limpa, mais clara e mais bem definida do que nas outras faixas etarias. Pode-se concluir que ha uma correlacao entre as alteracoes do envelhecimento e morfologicas nos canais radiculares mesial de primeiros molares inferiores. Abstract in english The aim of this study was to evaluate age-related morphological canal changes in mesial root canals of mandibular first molars of known ages. Fifty-six specimens were selected for this study and distributed into the following four age groups (n. 14): a) Group of children under 13 years, b) Group of [...] adolescents (from 14 to 19 years), c) Group of young adults (from 20 to 39 years) and d) Group of older adults (over 40 years). The specimens were in perfect condition because after extraction they were carefully cleaned, sterilized, identified and stored in water. In order to improve the cleaning, they were placed in 1% sodium hypochlorite solution for four hours and rinsed in 10 vol. hydrogen peroxide for 8 hours. After that, a clearing technique was performed to illustrate root canal anatomy. Digitalized images of all samples were obtained by use of a stereomicroscope. Canals were noticeably simpler in older adults: they were sharply defined and narrow, sometimes too narrow. Calcification nuclei were not found and there were only a few remains of internuclear spaces. The canal system appeared cleaner, clearer and more sharply defined than in the other age groups. It may be concluded that there is a correlation between aging and morphological changes in the mesial root canals of mandibular first molars.

  3. The molarity of molecular theory and the molecularity of molar theory.

    Bersh, P J

    2001-05-01

    Dinsmoor (2001) rejects shock-frequency reduction as a reinforcer for avoidance behavior, and considers this to be an invalidation of so-called molar avoidance theory. This is a narrow view of operant avoidance theory, for which shock-frequency reduction is by no means the only reinforcer. PMID:11453625

  4. The molarity of molecular theory and the molecularity of molar theory.

    Bersh, P J

    2001-01-01

    Dinsmoor (2001) rejects shock-frequency reduction as a reinforcer for avoidance behavior, and considers this to be an invalidation of so-called molar avoidance theory. This is a narrow view of operant avoidance theory, for which shock-frequency reduction is by no means the only reinforcer.

  5. The success rate of bupivacaine and lidocaine as anesthetic agents in inferior alveolar nerve block in teeth with irreversible pulpitis without spontaneous pain

    Parirokh, Masoud; Yosefi, Mohammad Hosein; NAKHAEE, Nouzar; Paul V. Abbott; Manochehrifar, Hamed

    2015-01-01

    Objectives Achieving adequate anesthesia with inferior alveolar nerve blocks (IANB) is of great importance during dental procedures. The aim of the present study was to assess the success rate of two anesthetic agents (bupivacaine and lidocaine) for IANB when treating teeth with irreversible pulpitis. Materials and Methods Sixty volunteer male and female patients who required root canal treatment of a mandibular molar due to caries participated in the present study. The inclusion criteria inc...

  6. Bilateral maxillary fused second and third molars: a rare occurrence.

    Liang, Rui-Zhen; Wu, Jin-Tao; Wu, You-Nong; Smales, Roger J; Hu, Ming; Yu, Jin-Hua; Zhang, Guang-Dong

    2012-12-01

    This case report describes the diagnosis and endodontic therapy of maxillary fused second and third molars, using cone-beam computed tomography (CBCT). A 31-year-old Chinese male, with no contributory medical or family/social history, presented with throbbing pain in the maxillary right molar area following an unsuccessful attempted tooth extraction. Clinical examination revealed what appeared initially to be a damaged large extra cusp on the buccal aspect of the distobuccal cusp of the second molar. However, CBCT revealed that a third molar was fused to the second molar. Unexpectedly, the maxillary left third molar also was fused to the second molar, and the crown of an unerupted supernumerary fourth molar was possibly also fused to the apical root region of the second molar. Operative procedures should not be attempted without adequate radiographic investigation. CBCT allowed the precise location of the root canals of the right maxillary fused molar teeth to permit successful endodontic therapy, confirmed after 6 months. PMID:23222992

  7. Post-extraction inferior alveolar nerve neurosensory disturbances--a guide to their evaluation and practical management.

    Mahon, Nicola; Stassen, Leo F A

    2014-01-01

    Inferior alveolar nerve injuries are a recognised complication of mandibular third molar extractions. This paper describes the different types of nerve injuries that may occur. A differential of possible causes is provided and an approach to the immediate and follow-up management is outlined. The prognosis of such injuries is reviewed so that patients can be informed of the possible postoperative outcome. The algorithm shows the timeline for monitoring/referring and the included tables outline the advantages and disadvantages of surgery versus watchful waiting. PMID:25638921

  8. Stepwise excavation in a permanent molar

    Lima, Fernanda Ferruzzi; Pascotto, Renata Corrêa; Benetti, Ana Raquel

    2010-01-01

    The current study presents a 17-year clinical report of stepwise excavation and indirect pulp capping in a lower right first molar, with great dentin destruction and a lack of dentin support of the cusps. At the first appointment, indirect pulp capping with calcium hydroxide and a temporary filling...... with zinc oxide cement were performed to minimize the risk of pulp exposure during excavation. After 45 days, the remaining carious tissue was removed and a restoration with glass-ionomer lining (Vitrebond) and resin composite (P-50) was performed. Satisfactory morphology and function of the...... restoration and pulp vitality were preserved for 17 years, thus indicating that stepwise excavation can be a good treatment alternative in selected cases....

  9. Statistical Interpretation of Femto-Molar Detection

    Go, Jonghyun

    2009-01-01

    Over the last decade, many experiments have demonstrated that nanobiosensors based on Nanotubes and Nanowires are significantly more sensitive compared to their planar counterparts. Yet, there has been persistent gap between reports of analyte detection at ~femto-Molar concentration and theory suggesting the impossibility of sub-pM detection at the corresponding incubation time. This divide has persisted despite the sophistication of the theoretical models. In this paper, we calculate the statistics of diffusion-limited arrival-time distribution by a Monte Carlo method to suggest a statistical resolution of the enduring puzzle: The incubation time in the theory is the mean incubation time, while experiments suggest device stability limited the minimum incubation time. The difference in incubation times - both described by characteristic power-laws - provides an intuitive explanation of different detection limits anticipated by theory and experiments. These power laws broaden the scope of problems amenable to ...

  10. Molar extinction coefficients of some fatty acids

    The attenuation of gamma rays in some fatty acids, viz. formic acid (CH2O2), acetic acid (C2H4O2), propionic acid (C3H6O2), butyric acid (C4H8O2), n-hexanoic acid (C6H12O2), n-caprylic acid (C8H16O2), lauric acid (C12H24O2), myristic acid (C14H28O2), palmitic acid (C16H32O2), oleic acid (C18H34O2) and stearic acid (C18H36O2), has been measured at the photon energies 81, 356, 511, 662, 1173 and 1332 keV. Experimental values for the molar extinction coefficient, the effective atomic number and the electron density have been derived and compared with theoretical calculations. There is good agreement between experiment and theory

  11. Apparent molar volumes and compressibilities of selected electrolytes in dimethylsulfoxide

    Densities at T = (293.15, 298.15, 303.15, 313.15, 323.15, and 333.15) K and sound velocities at T = 298.15 K of tetraphenylphosphonium bromide, sodium tetraphenylborate, sodium bromide, and sodium perchlorate in dimethylsulfoxide have been measured over the composition range from (0 to 0.3) mol . kg-1. From these data, apparent molar volumes and apparent molar isentropic compressibilities at infinite dilution as well as the expansibilities have been evaluated. The results have been discussed in terms of employing tetraphenylphosphonium tetraphenylborate as a reference electrolyte in splitting the limiting apparent molar volumes and apparent molar isentropic compressibilities into ionic contributions.

  12. Inferior oblique muscle thickness in Asians

    Yasuhiro Takahashi

    2008-06-01

    Full Text Available Yasuhiro Takahashi1, Hirohiko Kakizaki2, Takashi Nakano3, Ken Asamoto3, Masayoshi Iwaki21Department of Ophthalmology and Visual Sciences, Osaka City University Graduate School of Medicine, Asahi-machi, Abeno-ku, Osaka, Japan; 2Department of Ophthalmology; 3Anatomy, Aichi Medical University, Nagakute, Aichi, JapanAbstract: The purpose of this study was to examine the inferior oblique muscle (IOM thickness in Asians by the quasi-sagittal plane of the orbits. Specimens were examined from 23 orbits of 18 Asians (9 orbits in males, 14 in females, aged 63 to 97 years at death. All specimens were fixed in 10% buffered formalin before use. The orbital contents were incised parallel to the optic nerve, after which the lengths of both short and long axes of the IOM were measured and the ratio of short to long axes was calculated. The mean lengths of each short or long axis of the IOM were 2.27 ± 0.49 mm and 7.23 ± 0.97 mm, respectively. The average ratio was 0.32 ± 0.07. There were no significant differences in laterality or gender. This study determined the normal IOM thickness in Asian cadavers, the outcome of which could be useful for detection of IOM involvement in Graves’ orbitopathy.Keywords: inferior oblique muscle, Asian, thickness, quasi-sagittal plane

  13. Autotransplantation of a Buccally Erupted Matured Mandibular Third Molar to Replace a Grossly Decayed Second Molar.

    Yadav, Sukhwant Singh; Bodh, Ranjeet; Kaushik, Aishvarya; Talwar, Sangeeta

    2016-02-01

    Autotransplantation can be a treatment option for tooth loss as an alternative to fixed or implant-supported prostheses. It has predictable results comparable to implants, with reported success rates often greater than 90%. In present case, buccally erupted matured third molar was autotransplanted in extraction socket of grossly carious mandibular second molar. The tooth was splinted for 1 week followed by root canal treatment. After 12 months follow up, tooth was in perfect state of function and aesthetic with healthy periapical and periodontal architecture. High success rate was found in immature tooth transplantation in previous case reports. This case report describes that even matured tooth can also be used as donor if atraumatic extraction is possible and endodontic treatment is well performed. PMID:27042593

  14. Autotransplantation of a Buccally Erupted Matured Mandibular Third Molar to Replace a Grossly Decayed Second Molar

    Bodh, Ranjeet; Kaushik, Aishvarya; Talwar, Sangeeta

    2016-01-01

    Autotransplantation can be a treatment option for tooth loss as an alternative to fixed or implant-supported prostheses. It has predictable results comparable to implants, with reported success rates often greater than 90%. In present case, buccally erupted matured third molar was autotransplanted in extraction socket of grossly carious mandibular second molar. The tooth was splinted for 1 week followed by root canal treatment. After 12 months follow up, tooth was in perfect state of function and aesthetic with healthy periapical and periodontal architecture. High success rate was found in immature tooth transplantation in previous case reports. This case report describes that even matured tooth can also be used as donor if atraumatic extraction is possible and endodontic treatment is well performed. PMID:27042593

  15. Anchorage reinforcement with a fixed functional appliance during protraction of the mandibular second molars into the first molar extraction sites.

    Chhibber, Aditya; Upadhyay, Madhur

    2015-07-01

    Protraction of posterior teeth into edentulous spaces is a challenge. This report describes the treatment of a 19-year-old woman with missing mandibular first molars owing to caries. A fixed functional appliance was used for anchorage reinforcement during mandibular second molar protraction. Eight millimeters of bilateral protraction was done with bodily mesial movement of the molars and no lingual tipping of the incisors. PMID:26124039

  16. Caries dental y necesidades de tratamiento en el primer molar permanente en escolares de 12 años de las escuelas públicas del municipio de Rionegro (Antioquia, Colombia, 2010 / Dental Caries and Treatment Needs in the First Permanent Molar [...

    Anny Marcela Vivares Builes

    2012-07-01

    Full Text Available Antecedentes: es importante evaluar el primer molar permanente, ya que en edad escolar es el diente permanente más afectado por caries. La prevalencia de caries en estos dientes se ha asociado con la actividad futura de caries. Objetivo: determinar la prevalencia de caries y las necesidades de tratamiento de los primeros molares permanentes en la población escolar de 12 años de las escuelas oficiales del municipio de Rionegro (Antioquia. Métodos: se realizó un estudio descriptivo transversal en 808 escolares de 12 años de escuelas públicas del municipio. Se analizó la prevalencia de caries dental en el primer molar permanente por número y tipo de dientes afectados y de acuerdo con sexo, escolaridad, zona de residencia y afiliación al Sistema General de Seguridad Social en Salud (SGSSS. También se describieron las necesidades de tratamiento para cada primer molar permanente. Resultados: los molares inferiores presentaron la mayor prevalencia de caries dental en relación con las variables de afiliación al SGSSS, sexo y zona de residencia; en estas dos últimas variables se evidenció más afectación en el primer molar inferior derecho y concentración en este molar de las necesidades de tratamiento restaurativo. Conclusiones: aunque se cuenta con estudios previos sobre prevalencia de caries dental en el municipio que muestran cumplimiento de metas de la Organización Mundial de la Salud, son más escasos los estudios que evalúen de manera individual los primeros molares permanentes para orientar políticas de salud pública dirigidos a la preservación de estas importantes estructuras dentales. Background: Evaluation of the first permanent molar is important since it is the tooth that is most affected from dental cavities in schoolers. Caries prevalence of this molar has been associated with future caries activity. Objective: Determine caries prevalence and treatment needs in the first permanent molar of a 12-year-old population from public schools in the municipality of Rionegro (Antioquia. Methods: A descriptive study in 808 12-year-old school children from public schools in Rionegro was conducted. Caries prevalence in the first permanent molar was analyzed regarding number and type of teeth affected and association with sex, grade, zone of residence, and type of affiliation to the social security system (SSS. Needs for dental treatment in this molar were also described. Results: Lower molars were the most affected by dental caries in relationship with sex, SSS, and zone of residence; in the latter two dental cavities were more prevalent in the right lower first molar, tooth in which the need for restorative treatment is higher than the other first molars. Conclusions: Although there are previous studies on the dental health status in Rionegro and indicators show that the goals of the World Health Organization are being met, evaluative research focused on the first permanent molar is scarce and necessary given its importance for health public policymaking intended to preserve this teeth.

  17. Presence of third molars in orthodontic patients from northern Greece

    Barka G

    2012-05-01

    Full Text Available Georgia Barka,1 Georgios Tretiakov,1 Theodosios Theodosiou,2 Ioulia Ioannidou-Marathiotou31School of Dentistry, 2Biostatistics, Department of Informatics, School of Natural Sciences, 3Department of Orthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, GreeceObjective: The purpose of the present study was to investigate the frequency of presence of third molar teeth and their distribution in each jaw and each side, according to sex, in a group of orthodontic patients with permanent dentition from northern Greece.Methods: The sample included panoramic radiographs from 220 patients with permanent dentition (mean age 13.62 ± 1.81. The Χ2 test was used to assess the relationships between the variables, and the Fisher's exact test was used in cases where the expected frequencies in each cell were <5.Results: The frequency of third molar presence was 79.1%, and 20.9% was the frequency of third molar agenesis. Intersexual differences in the number of third molars was not statistically significant. There was a correlation between the distribution of third molars on the right and the left side (Fisher's exact test = 100.788; P = 0. The two sides showed the same tendency toward the presence or absence of third molars. A correlation was also found between the distribution of maxillary and mandibular third molars (Fisher's exact test = 24.372; P = 0. In each jaw, the presence or absence of third molars was highly related to the number of third molars found in the other jaw.Conclusion: The present results showed that in this orthodontic group of northern Greek patients, presence accounted for 79.1% and agenesis for 20.9%. No significant difference was found between the frequencies of third molar presence on the left and right sides in either the maxilla or mandible.Keywords: third molars, presence, orthodontic population, Greeks

  18. Congenital anomalies of the inferior vena cava

    Congenital anomalies of the inferior vena cava (IVC) and its tributaries are increasingly recognized in asymptomatic patients due to the more frequent use of cross-sectional imaging and computed tomography (CT) in particular. IVC development is a complex process involving formation of anastomoses between three pairs of embryonic veins in the 4th to 8th week of gestation. Various permutations occur in the basic venous plan of the abdomen and pelvis resulting in variants such as isolated left IVC, double IVC, and retroaortic left renal vein. The majority of these anomalies are asymptomatic but occasionally present clinically with thromboembolic complications. However, awareness of their existence is important to avoid important diagnostic pitfalls and in preoperative surgical and interventional radiological planning.

  19. Evaluation in vitro of pulpal chamber temperature of deciduous teeth during Er:YAG laser application; Avaliacao in vitro da temperatura na camara pulpar de dentes deciduos durante aplicacao do laser de Er:YAG

    Sznajder, Alexandre Joseph

    2001-07-01

    The Er:YAG laser technology has been thoroughly studied, since its invention, and has been increasingly recommended in Dentistry. However, its use in deciduous teeth has not been deserving the equivalent attention to its counterpart in permanent teeth, despite of the deciduous teething occur in a phase of life in which it has a far more importance than its substitutes. For that reason, this study aims to identify the suitable parameters to the clinic procedures in deciduous teeth, using the already established protocols in permanent teeth. The study was lead in a way to resemble the most the conditions of the clinical use of the laser. Five groups were analyzed using different energy densities and repetition rates. Each group was composed of 10 first superior right deciduous molars randomly selected. The energy densities and repetition rates used for each group were: 60 mJ 15 Hz, 250 mJ 2 Hz, 250 mJ 15 Hz, 400 mJ 6 Hz and 500 mJ 2 Hz. The results obtained allowed us to conclude that the use of the Er:YAG laser in Odontopediatrics is effective, safe and secure and the main reason for its recommendation is the low transfer of heat to the adjacent tissues of the applied surfaces. (author)

  20. Molar incisor hypomineralisation: clinical management of the young patient.

    Daly, Dympna

    2009-04-01

    Molar incisor hypomineralisation (MIH) is a common developmental condition resulting in enamel defects in first permanent molars and permanent incisors. It presents at eruption of these teeth. Early diagnosis is essential since rapid breakdown of tooth structure may occur, giving rise to acute symptoms and complicated treatment. The purpose of this article is to review MIH and illustrate its clinical management in young children.

  1. Inverted Maxillary Third Molar Impaction - A Case Report

    Yuvaraj; G D Agarwal

    2011-01-01

    Inverted maxillary third molar impaction is a rare occurrence. We report a case of 30 year old female who complained of painin upper part of face on left side. She was diagnosed a case of inverted third molar impaction. She was treated surgicallywith successful resolution of her symptoms.

  2. Elongational viscosity of narrow molar mass distribution polystyrene

    Bach, Anders; Almdal, Kristoffer; Rasmussen, Henrik Koblitz; Hassager, Ole

    2003-01-01

    Transient and steady elongational viscosity has been measured for two narrow molar mass distribution polystyrene melts of molar masses 200 000 and 390 000 by means of a filament stretching rheometer. Total Hencky strains of about five have been obtained. The transient elongational viscosity rises...

  3. Treatment options for hypomineralized first permanent molars and incisors

    Ivanović Mirjana

    2006-01-01

    Full Text Available The aim of this study was to discuss therapy possibilities in the management of molar incisor hypomineralization. Molar incisor hypomineralization (MIH is defined as hypomineralization of one or more first permanent molars frequently affecting incisors. Etiology of MIH is not fully clarified and numerous etiological factors have been cited. Hypomineralized molars are more prone to caries, cause severe restorative problems and are frequently extracted due to serious damage and caries complications. Incisors can present demarcated enamel opacities, while enamel breakdown is uncommon. Clinically, affected molars can be sensitive to thermal and chemical irritations even when there is no enamel breakdown. Molars can be sensitive to mechanical irritations making even regular tooth brushing painful. Specific problems related to the treatment of these teeth are sensitivity and occlusion in molars and aesthetics in incisors. Considering the fact that permanent first molars with severe defects and incisors demand complex and multidisciplinary treatment they present serious problem for the patient as well as for the dentist.

  4. Bilateral inferior petrosal sinus sampling using vasopressin

    Narendra Kotwal

    2016-01-01

    Full Text Available Context: Anatomical localization of pituitary adenoma can be challenging in adrenocorticotropic hormone (ACTH-dependent Cushing's syndrome, and bilateral inferior petrosal sinus sampling (BIPSS is considered gold standard in this regard. Stimulation using corticotrophin-releasing hormone (CRH improves the sensitivity of BIPSS, however, same is not easily available in India. Therefore, we undertook this study of BIPPS using vasopressin as agent for stimulation owing to its ability to stimulate V3 receptors present on corticotrophs. Aims: To study the tumor localization and lateralization in difficult to localize cases of ACTH-dependent Cushing's syndrome by bilateral inferior petrosal sinus sampling using vasopressin for corticotroph stimulation. Settings and Design: Prospective observational study. Subjects and Methods: Six patients (5 females meeting inclusion criteria underwent BIPSS using vasopressin for stimulation. Results: All six patients had nonsuppressible overnight and low dose dexamethasone suppression test with elevated plasma ACTH levels suggestive of ACTH-dependent Cushing's syndrome. High dose dexamethasone suppression test showed suppressible cortisol in two cases, and microadenoma was seen in two patients on magnetic resonance imaging pituitary. Contrast enhanced computed tomography of the abdomen showed left adrenal hyperplasia in one case and anterior mediastinal mass with bilateral adrenal hyperplasia another. Using BIPSS four patients were classified as having Cushing's disease that was confirmed histopathologically following surgery. Of the remaining two, one had primary pigmented nodular adrenocortical disease, and another had thymic carcinoid with ectopic ACTH production as the cause of Cushing's syndrome. No serious adverse events were noted. Conclusions: Vasopressin may be used instead of CRH and desmopressin for stimulation in BIPSS.

  5. Relationship between hypoesthesia of the lower lip after extraction of the mandibular third molar and preoperative imaging findings on panoramic X-ray films and multi-planer reconstructive CT scans

    The mandibular third molars are usually located near the inferior alveolar nerve. Surgical removal of these molars may damage the nerve and cause hypoesthesia of the lower lip. Before surgery, it is important to examine the exact positional relationship between the mandibular third molars and the mandibular canal to prevent such complications. A total of 329 lower third molars from 198 patients were studied on panoramic radiographs and computed tomography (CT). We studied the association of hypoesthesia with the spacial relation between the tooth roots and the mandibular canal. Hypoesthesia occurred in 23 of 329 teeth (7.0%). Almost all cases of hypoesthesia resolved within 6 months. However, hypoesthesia of 3 teeth (0.9%) persisted approximately 7 to 12 months after surgery. In 206 of 329 teeth (62.6%), the assumed location of the mandibular canal differed between panoramic radiography and CT. Furthermore, the prediction rate of the incidence of type 1 hypoesthesia on CT (35.5%) was higher than that on panoramic radiography (15.9%). Risk factors related to hypoesthesia included loss of the white line of the root, curve of the mandibular canal, and close proximity of the tooth to the mandibular canal (Type 1) on panoramic radiography. There were also teeth in contact with the canal (0 mm) in all patients in whom hypoesthesia developed. In particular, patients whose mandibular canals were located between the roots of the mandibular third molar or on the lingual side of the mandibular third molar had a high incidence of hypoesthesia (26.0%). These results suggest that the positional relation between the mandibular third molars and the mandibular canal should be accurately evaluated by CT. Because of its high resolution and ability to examine patients in detail, CT was found to be useful for predicting the risk of inferior alveolar nerve damage before mandibular third molar surgery. (author)

  6. Prevalent of root resorption of second molar adjustment the impacted third molar in prepiacal and panoramic radiographs

    Mohammad Ebrahimi Saravi

    2013-10-01

    Full Text Available   Background and Aims: Impacted third molar reduces the bone level in the distal aspect of second molar, and sometimes it can lead to root resorption of the adjacent tooth. The purpose of this study was to determine this resorption using panoramic and periapical radiographs.   Materials and Methods: In this cross-sectional descriptive study 54 patient (28 men, 26 women above 15 years old with the average of 22 years in Oral and Maxillofacial Department of Tehran University were studied. A periapical radiography from the third molar and a panoramic radiograph were taken from each patient (Because of their routine use and evaluation of accuracy of panoramic compared with periapical, and the magnitude of the root resorption for the second molar was determined by 2 observers and written in a questionnaire. Data were analyzed using Fisher test.   Results: The prevalence of the root resorption of the second molar adjacent to the impacted third molar in the panoramic and the periapical radiographies, with respect to the limitation of the sample size were 46.3% and 31.5%, respectively, with 95% confidence(P>0.05. Most of these resorptions were in the cervical third of the second molar roots and in cases in which the third molars were mesially oriented or horizontal. There was also no significant difference between panoramic and periapical radiographs.   Conclusion: Due to the increased risk of the resorption of the second molar adjacent to the third molar, extraction of the impacted third molars, especiall y mesially oriented or horizontal ones are recommended.

  7. Mandibular third molar autotransplantation--literature review with clinical cases.

    Mendes, Rui Amaral; Rocha, Germano

    2004-12-01

    Autotransplantation of mandibular third molars in a precocious phase of development is indicated when a substitute for adjacent compromised or missing molars is needed, and when mesial movements of the posterior teeth, the resultant loss of space, and overeruption of opposing teeth and consequent changes in the occlusion must be avoided. Provided that the apices of the mandibular third molar are immature, the immediate replacement of a lost or compromised tooth usually ensures a good outcome. Transplantation of third molars helps to maintain alveolar bone and enables endosseous implantation without requiring bone regeneration. We present examples of transplantation of mandibular third molars and review the factors that affect the success or failure of this procedure, such as atraumatic extraction and adequate immobilization of the transplanted tooth and root development after transplantation. Sex or age seem to have no effect on the final outcome. PMID:15588551

  8. Prosthetic rehabilitation of a hemisected maxillary molar: a rare entity.

    Yadav, Preeti; Tahir, Mohammed; Kumar, M V Sunil; Rao, Harikesh

    2013-09-01

    Gingival recession beyond grade III and grade IV level involving furcation defects can lead to tooth loss if not intervened at appropriate time. The treatment options include scaling and root planing, Furcation-plasty, Tunnel preparation, Root separation and resection. The chief complaint of the patient was pain in the upper left first molar because of grade III furcation involvement. Since it was a four rooted molar, the treatment of choice was hemisection of the tooth and extraction of the distal half following endodontic treatment. As the second molar was mesially tilted the prosthodontic rehabilitation was done with a hybrid prosthesis involving a full coverage conventional porcelain fused to metal retainer on the hemisected molar and a resin bonded partial coverage retainer on the tilted second molar. The resultant prosthesis is termed as "Hybrid prosthesis". PMID:24431763

  9. Má oclusão Classe I de Angle tratada com extrações de primeiros molares permanentes Angle Class I malocclusion treated with extraction of first permanent molars

    Ivan Tadeu Pinheiro da Silva

    2010-08-01

    Full Text Available A má oclusão Classe I de Angle é caracterizada por uma relação anteroposterior normal nos molares, que pode ou não estar acompanhada por alterações esqueléticas - nos planos vertical ou transverso - ou dentárias. A biprotrusão, revelada pela inclinação acentuada dos incisivos superiores e inferiores para vestibular, somada ao trespasse horizontal excessivo, faz com que o paciente fique mais exposto a traumas dentários, além de causar comprometimento estético. A escolha dos dentes a serem extraídos para a correção, geralmente, recai sobre os primeiros ou segundos pré-molares, devido à sua posição na arcada. Contudo, a extração do primeiro molar permanente, em função de algum comprometimento, por cárie ou restauração extensa, pode ser uma alternativa, proporcionando a manutenção de um dente hígido em detrimento de outro já manipulado. O presente caso, tratado de maneira incomum, pela extração dos quatro primeiros molares permanentes, foi apresentado à Diretoria do Board Brasileiro de Ortodontia e Ortopedia Facial (BBO, representando a categoria 2, como parte dos requisitos para a obtenção do título de diplomado pelo BBO.Angle Class I malocclusion is characterized by normal anteroposterior molar relationship, which may or may not be accompanied by skeletal changes-in the vertical or transverse planes-or dental changes. Bimaxillary dental protrusion, characterized by pronounced labial inclination of maxillary and mandibular incisors combined with excessive overjet, expose patients to dental trauma and compromise aesthetics. In deciding which teeth to extract for Class I correction the first or second premolars are usually selected due to their location in the dental arch. However, the extraction of a first permanent molar compromised by caries or extensive restoration may be an alternative that ensures the preservation of a healthy tooth instead of one that has already been manipulated. This case, treated in an unusual manner by the extraction of four first permanent molars, was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO as representative of category 2, as part of the requirements for obtaining the BBO diplomate title.

  10. Ausncia de veia cava inferior: relato de caso Absence of the inferior vena cava: case report

    Elton Correia Alves

    2010-12-01

    Full Text Available A ausncia congnita de veia cava inferior achado incomum e ocasional durante exames complementares ou cirurgias do abdome. Em razo de a maioria dos pacientes sem outras malformaes serem assintomticos, h dificuldade em estimar a prevalncia dessas anomalias. O objetivo deste trabalho foi relatar o caso de um paciente de 28 anos, sexo masculino, referido para radiografia de trax devido a quadro de febre alta (39C no-responsiva medicao. Radiografia de trax sugeriu dilatao de veia zigos. Em inqurito dirigido para sintomas cardiovasculares, referiu dor torcica (durante atividade fsica e em repouso e dispneia ocasionais durante o sono associada ao perodo em que intensificou a prtica de exerccios. Realizada tomografia computadorizada sem contraste e, posteriormente, contrastada. As mesmas no esclareceram o caso, fazendo-se necessrio angiotomografia, a qual evidenciou ausncia de veia cava inferior torcica.The congenital absence of the inferior vena cava is a rare and occasional finding at complementary exams or abdominal surgeries. As the majority of patients without other malformations are asymptomatic, it is hard to estimate the prevalence of these anomalies. Our goal was to report a case of a 28-year-old patient, male, referred to thorax X-ray due to high fever state (39C, nonresponder to medication. The X-ray suggested azygos vein dilatation. The interview about cardiovascular symptoms revealed thoracic pain during both physical exercises and at rest, and occasional dyspnea during sleep related to the period of intensification of physical exercises. Computadorized tomography with and without contrast did not solve the case, what explain the request of an angiotomography, that showed absence of thoracic inferior vena cava.

  11. Nonsurgical Endodontic Management of a Molar-Incisor Malformation-affected Mandibular First Molar: A Case Report.

    Yue, Wonyoung; Kim, Euiseong

    2016-04-01

    A molar-incisor malformation (MIM) is a newly reported type of dental anomaly that involves a characteristic root malformation in permanent first molars and deciduous second molars and a crown defect in permanent central incisors. This case report describes a nonsurgical root canal treatment of a MIM-affected molar by aid of a reformatted axial view of the tooth cone-beam computed tomography (CBCT). A MIM-affected molar has calcified canal orifices and a few immature accessory furcal canals. Conventional root canal treatment with the aid of CBCT followed by resin restoration was performed on the tooth. The malformed roots of MIM teeth generally make it difficult to apply conventional endodontic treatment; however, it was possible to do with the aid of the reformatted axial view of the CBCT. PMID:26706790

  12. A Four-Year Monocentric Study of the Complications of Third Molars Extractions under General Anesthesia: About 2112 Patients.

    Guerrouani, A; Zeinoun, T; Vervaet, C; Legrand, W

    2013-01-01

    Introduction. The aim of this study was to assess the complications resulting from third molar extraction under general anesthesia. Material and Methods. The retrospective study included all patients who underwent impacted third molars extraction from January 2008 until December 2011. 7659 third molars were extracted for 2112 patients. Postoperative complications were retrieved from medical files. Results. No complications were related to general anesthesia. The most frequent postoperative complication was infection (7.15%). Lingual nerve injuries affected 1.8% of the patients. All of them were transient and were not related to tooth section. Inferior alveolar nerve injuries were reported in 0.4% of the cases. 95.8% of these patients were admitted for one-day ambulatory care, and only two patients were readmitted after discharge from hospital. Discussion. This surgical technique offers comfort for both surgeons and patients. Risks are only linked to the surgical procedure as we observed no complication resulting from general anesthesia. One-day hospitalization offers a good balance between comfort, security, and cost. The incidence of complications is in agreement with the literature data, especially regarding pain, edema, and infectious and nervous complications. It is of utmost importance to discuss indications with patients, and to provide them with clear information. PMID:24101928

  13. Maxillary molar distalization with a bone-anchored pendulum appliance.

    Kircelli, Beyza Hancio?lu; Pekta?, Zafer Ozgr; Kircelli, Cem

    2006-07-01

    To obtain an effective and compliance-free molar distalization without an anchorage loss, we designed the bone-anchored pendulum appliance (BAPA). The aim of this study was to evaluate the stability of the anchoring screw, distalization of the maxillary molars, and the movement of teeth anterior to maxillary first molars. The study group comprised 10 patients (mean age 13.5 +/- 1.8 years) with Class II molar relationship. A conventional pendulum appliance was modified to obtain anchorage from an intraosseous screw instead of the premolars. The screw was placed in the anterior paramedian region of the median palatal suture. Skeletal and dental changes were measured on cephalograms, and dental casts were obtained before and after distalization. A super Class I molar relationship was achieved in a mean period of 7.0 +/- 1.8 months. The maxillary first molars distalized an average of 6.4 +/- 1.3 mm in the region of the dental crown by tipping distally an average of 10.9 degrees +/- 2.8 degrees . Also, the maxillary second premolar and first premolar moved distally an average of 5.4 +/- 1.3 mm and 3.8 +/- 1.1 mm, respectively. The premolars tipped significantly distally. No anterior incisor movement was detected. The BAPA was found to be an effective, minimally invasive, and compliance-free intraoral distalization appliance for achieving both molar and premolar distalization without any anchorage loss. PMID:16808573

  14. Adapting molar data (without density) for molal models

    Marion, Giles M.

    2007-06-01

    Theoretical geochemical models for electrolyte solutions based on classical thermodynamic principles rely largely upon molal concentrations as input because molality (wt/wt) is independent of temperature and pressure. On the other hand, there are countless studies in the literature where concentrations are expressed as molarity (wt/vol) because these units are more easily measured. To convert from molarity to molality requires an estimate of solution density. Unfortunately, in many, if not most, cases where molarity is the concentration of choice, solution densities are not measured. For concentrated brines such as seawater or even more dense brines, the difference between molarity and molality is significant. Without knowledge of density, these brinish, molar-based studies are closed to theoretical electrolyte solution models. The objective of this paper is to present an algorithm that can accurately calculate the density of molar-based solutions, and, as a consequence, molality. The algorithm consist of molar inputs into a molal-based model that can calculate density (FREZCHEM). The algorithm uses an iterative process for calculating absolute salinity (SA), density (ρ), and the conversion factor (CF) for molarity to molality. Three cases were examined ranging in density from 1.023 to 1.203 kg(soln.)/l. In all three cases, the SA, ρ, and CF values converged to within 1ppm by nine iterations. In all three cases, the calculated densities agreed with experimental measurements to within ±0.1%. This algorithm opens a large literature based on molar concentrations to exploration with theoretical models based on molal concentrations and classical thermodynamic principles.

  15. Specificity of inferior olive response to stimulus timing.

    Liu, T; Xu, D; Ashe, J; Bushara, K

    2008-09-01

    The inferior olive is the sole source of the climbing fiber system, one of the two major afferent systems of the cerebellum; however, its exact role remains unknown. A longstanding hypothesis is that the inferior olive with its unique intrinsic rhythmic firing properties mediates motor timing. However, direct evidence linking the inferior olive to timing behavior has been difficult to demonstrate in animal or human studies likely due to the inhibition of inferior olive responses by self-produced movement. Here we used event-related functional magnetic resonance imaging (fMRI) and a perceptual task that dissociates the temporal from nontemporal attributes of sensory input. Subjects were asked to attend to rhythmically occurring identical visual stimuli and to detect a change in their timing, spatial orientation, or color. Inferior olive activation was seen only when perceiving a change in stimulus timing. These results are consistent with animal studies demonstrating that the inferior olive is especially sensitive to "unexpected" sensory events and further provide evidence supporting the specificity of the inferior olive response to stimulus timing. The results are consistent with the view that the inferior olive and the climbing fiber system mediate the encoding of temporal information required for both motor and nonmotor cognitive processes. PMID:18632890

  16. Adaptive global synchrony of inferior olive neurons

    This paper treats the question of global adaptive synchronization of inferior olive neurons (IONs) based on the immersion and invariance approach. The ION exhibits a variety of orbits as the parameter (termed the bifurcation parameter), which appears in its nonlinear functions, is varied. It is seen that once the bifurcation parameter exceeds a critical value, the stability of the equilibrium point of the ION is lost, and periodic orbits are born. The size and shape of the orbits depend on the value of the bifurcation parameter. It is assumed that bifurcation parameters of the IONs are not known. The orbits of IONs beginning from arbitrary initial conditions are not synchronized. For the synchronization of the IONs, a non-certainty equivalent adaptation law is derived. The control system has a modular structure consisting of an identifier and a control module. Using the Lyapunov approach, it is shown that in the closed-loop system, global synchronization of the neurons with a prescribed relative phase is accomplished, and the estimated bifurcation parameters converge to the true parameters. Unlike the certainty-equivalent adaptive control systems, an interesting feature of the designed control system is that whenever the estimated parameters coincide with the true values, the parameter estimates remain frozen thereafter, and the closed-loop system recovers the performance of the deterministic closed-loop system. Simulation results are presented which show that in the closed-loop system, the synchrony of neurons with prescribed phases is accomplished despite the uncertainties in the bifurcation parameters.

  17. Adaptive global synchrony of inferior olive neurons.

    Lee, Keum W; Singh, Sahjendra N

    2009-09-01

    This paper treats the question of global adaptive synchronization of inferior olive neurons (IONs) based on the immersion and invariance approach. The ION exhibits a variety of orbits as the parameter (termed the bifurcation parameter), which appears in its nonlinear functions, is varied. It is seen that once the bifurcation parameter exceeds a critical value, the stability of the equilibrium point of the ION is lost, and periodic orbits are born. The size and shape of the orbits depend on the value of the bifurcation parameter. It is assumed that bifurcation parameters of the IONs are not known. The orbits of IONs beginning from arbitrary initial conditions are not synchronized. For the synchronization of the IONs, a non-certainty equivalent adaptation law is derived. The control system has a modular structure consisting of an identifier and a control module. Using the Lyapunov approach, it is shown that in the closed-loop system, global synchronization of the neurons with a prescribed relative phase is accomplished, and the estimated bifurcation parameters converge to the true parameters. Unlike the certainty-equivalent adaptive control systems, an interesting feature of the designed control system is that whenever the estimated parameters coincide with the true values, the parameter estimates remain frozen thereafter, and the closed-loop system recovers the performance of the deterministic closed-loop system. Simulation results are presented which show that in the closed-loop system, the synchrony of neurons with prescribed phases is accomplished despite the uncertainties in the bifurcation parameters. PMID:19717895

  18. Imaging evaluation of the inferior vena cava.

    Smillie, Richard P; Shetty, Monisha; Boyer, Andrew C; Madrazo, Beatrice; Jafri, Syed Zafar

    2015-01-01

    The inferior vena cava (IVC) is an essential but often overlooked structure at abdominal imaging. It is associated with a wide variety of congenital and pathologic processes and can be a source of vital information for referring clinicians. Initial evaluation of the IVC is most likely to occur at computed tomography performed for another indication. Many routine abdominal imaging protocols may result in suboptimal evaluation of the IVC; however, techniques to assist in specific evaluation of the IVC can be used. In this article, the authors review the spectrum of IVC variants and pathologic processes and the relevant findings from magnetic resonance imaging, angiography, sonography, and positron emission tomography. Embryologic development of the IVC and examples of congenital IVC variants, such as absence, duplication, left-sided location, azygous or hemiazygous continuation, and web formation, are described. The authors detail IVC involvement in Wilms tumor, leiomyosarcoma, adrenal cortical carcinoma, testicular carcinoma, hepatocellular carcinoma, renal cell carcinoma, and other neoplasms, as well as postsurgical, traumatic, and infectious entities (including filter malposition, mesocaval shunt, and septic thrombophlebitis). The implications of these entities for patient treatment and instances in which specific details should be included in the dictated radiology report are highlighted. Furthermore, the common pitfalls of IVC imaging are discussed. The information provided in this review will allow radiologists to detect and accurately characterize IVC abnormalities to guide clinical decision making and improve patient care. PMID:25763740

  19. Inferior patellar pole fragmentation in children: just a normal variant?

    Kan, J.H.; Vogelius, Esben S.; Orth, Robert C.; Guillerman, R.P.; Jadhav, Siddharth P. [Texas Children' s Hospital, E.B. Singleton Pediatric Radiology, Houston, TX (United States)

    2015-06-15

    Fragmentary ossification of the inferior patella is often dismissed as a normal variant in children younger than 10 years of age. The purpose of this study was to determine whether fragmentary inferior patellar pole ossification is a normal variant or is associated with symptoms or signs of pathology using MRI and clinical exam findings as reference. A retrospective review was performed on 150 patients ages 5-10 years who underwent 164 knee radiography and MRI exams (45.1% male, mean age: 7.8 years). The presence or absence of inferior patellar pole fragmentation on radiography was correlated with the presence or absence of edema-like signal on MR images. Clinical notes were reviewed for the presence of symptoms or signs referable to the inferior patellar pole. These data were compared with a 1:1 age- and sex-matched control group without inferior pole fragmentation. Statistical analysis was performed using two-tailed t-tests. Forty of 164 (24.4%) knee radiographs showed fragmentary ossification of the inferior patella. Of these 40 knees, 62.5% (25/40) had edema-like signal of the inferior patellar bone marrow compared with 7.5% (3/40) of controls (P = 0.035). Patients with fragmentary ossification at the inferior patella had a significantly higher incidence of documented focal inferior patellar pain compared with controls (20% vs. 2.5%, P = 0.015). Inferior patellar pole fragmentation in children 5 to 10 years of age may be associated with localized symptoms and bone marrow edema-like signal and should not be routinely dismissed as a normal variant of ossification. (orig.)

  20. Inferior patellar pole fragmentation in children: just a normal variant?

    Fragmentary ossification of the inferior patella is often dismissed as a normal variant in children younger than 10 years of age. The purpose of this study was to determine whether fragmentary inferior patellar pole ossification is a normal variant or is associated with symptoms or signs of pathology using MRI and clinical exam findings as reference. A retrospective review was performed on 150 patients ages 5-10 years who underwent 164 knee radiography and MRI exams (45.1% male, mean age: 7.8 years). The presence or absence of inferior patellar pole fragmentation on radiography was correlated with the presence or absence of edema-like signal on MR images. Clinical notes were reviewed for the presence of symptoms or signs referable to the inferior patellar pole. These data were compared with a 1:1 age- and sex-matched control group without inferior pole fragmentation. Statistical analysis was performed using two-tailed t-tests. Forty of 164 (24.4%) knee radiographs showed fragmentary ossification of the inferior patella. Of these 40 knees, 62.5% (25/40) had edema-like signal of the inferior patellar bone marrow compared with 7.5% (3/40) of controls (P = 0.035). Patients with fragmentary ossification at the inferior patella had a significantly higher incidence of documented focal inferior patellar pain compared with controls (20% vs. 2.5%, P = 0.015). Inferior patellar pole fragmentation in children 5 to 10 years of age may be associated with localized symptoms and bone marrow edema-like signal and should not be routinely dismissed as a normal variant of ossification. (orig.)

  1. Morphological Alterations of the Surfaces of Enamel and Dentin of Deciduous Teeth Irradiated with Nd:YAG, C0(2and Diode Lasers Alteraciones Morfolgicas de las Superficies de Esmalte y Dentina de Dientes Deciduos Irradiados con Lseres de Nd:YAG, C0(2 y Diodo

    Mnica Rodrigues de Souza

    2009-06-01

    Full Text Available In this work, we studied the effects of C0(2, Nd:YAG and diode lasers on the enamel and dentin of deciduous human teeth. After the irradiations, the samples were duly prepared and set up on metallic bases, covered with gold and examined in the scanning electron microscope. The results showed that the irradiation with the C0(2 mode locked laser with 1.0 W power caused melting and irregularities with small cavities on the surface of the enamel. The irradiated area on the dentin surface appeared circular and well delimited, containing blocks of dentin and cracks. By using the pulsed Nd:YAG laser with 1.0 W mean power and 10 Hz frequency, the enamel surface presented granules of molten enamel, with a typical melting look. The irradiated dentin surface presented a cavity with a margin elevated with granules and holes, and its bottom presented dentinary tubules with globules of melted dentin. Irradiation with the mode locked of diode laser with 1.0 W mean power, showed the formation of a melted and evenly resolidified enamel surface, and the dentin surface presented a block of melted dentin with adjacent regions of normal dentin, evidently with a relatively smooth surface.El estudio presenta algunos resultados del efecto del lser de C0(2, Nd:YAG y Diodo sobre el esmalte y dentina de dientes deciduos humanos. Despus de las irradiaciones, se prepararon las muestras y se montaron sobre bases metlicas, cubiertas con oro y examinadas en el microscopio electrnico de barrido. Los resultados mostraron que la irradiacin con el lser C0(2 en modo conmutado con 1,0 W de potencia, provoca fusin e irregularidades con pequeos crteres en la superficie del esmalte. En la superficie de la dentina, el rea irradiada se mostr circular y bien definido, con bloques de dentina y grietas. Con el uso del lser Nd: YAG en el modo pulsado con 1,0 W de potencia media y frecuencia de 10Hz, la superficie del esmalte present granulos de esmalte fundido, dndole el aspecto de "melting" (derretido. La superficie de dentina irradiada present un crter con borde elevado con granulos y agujeros, y su fondo present tbulos dentinarios con glbulos de dentina derretida. La irradiacin del lser de Diodo en el modo conmutado con potencia media de 1,0 W, provoc la formacin de una superficie de esmalte fusionada y resolidificada uniforme y la superficie de la dentina present un bloque de dentina fundida en la regiones adyacentes de dentina normal, mostrando una superficie bastante lisa.

  2. Apparent molar volumes and compressibilities of selected electrolytes in dimethylsulfoxide

    Warminska, Dorota, E-mail: dorota@chem.pg.gda.p [Department of Physical Chemistry, Chemical Faculty, Gdansk University of Technology, 80-233 Gdansk (Poland); Grzybkowski, Waclaw [Department of Physical Chemistry, Chemical Faculty, Gdansk University of Technology, 80-233 Gdansk (Poland)

    2010-12-15

    Densities at T = (293.15, 298.15, 303.15, 313.15, 323.15, and 333.15) K and sound velocities at T = 298.15 K of tetraphenylphosphonium bromide, sodium tetraphenylborate, sodium bromide, and sodium perchlorate in dimethylsulfoxide have been measured over the composition range from (0 to 0.3) mol . kg{sup -1}. From these data, apparent molar volumes and apparent molar isentropic compressibilities at infinite dilution as well as the expansibilities have been evaluated. The results have been discussed in terms of employing tetraphenylphosphonium tetraphenylborate as a reference electrolyte in splitting the limiting apparent molar volumes and apparent molar isentropic compressibilities into ionic contributions.

  3. Molar tooth sign − looking beyond the obvious

    Nasreen Mahomed

    2013-08-01

    Full Text Available The molar tooth sign was initially identified in Joubert syndrome, named after Marie Joubert who first described it in 1968 as a rare autosomal recessive disorder characterised by the neuroradiological hallmark of the molar tooth sign caused by cerebellar vermian hypoplasia. Subsequently, it emerged that the molar tooth sign encompasses many syndromes that are now grouped together and termed Joubert syndrome and related disorders (JSRDs. Knowledge of the newer classification system and the subtypes is important and helps to direct and interpret imaging studies based on clinical signs so as to avoid delay in diagnosis of the hepatic oculorenal and renal subtypes of JSRDs in patients in whom the molar tooth sign is identified on brain MRI.

  4. Relacin entre Niveles de Inclusin de Terceros Molares Mandibulares e ndices Antropomtricos Fsicos de la Mandbula en Etnias Atacameas y Aymaras del Norte de Chile Relationship between Levels of Third Molar Inclusion and Physical Anthropometric Indices of the Mandible in the Atacameo and Aymara Ethnic Groups of Northern Chile

    Vctor Javier Beltrn Varas

    2011-06-01

    Full Text Available La patologa relacionada con el proceso de formacin odontognica, desarrollo y erupcin de terceros molares, constituyen uno de los motivos ms frecuentes de consulta odontolgica. La mayora de los autores coinciden en que el tercer molar inferior es el diente con mayor frecuencia de inclusin pero existen discrepancias respecto a la influencia de factores ecolgicos y raciales que expliquen esa condicin. Se sabe que los individuos de un grupo tnico tienen caractersticas fsicas especiales y esto tambin se observa a nivel facial de acuerdo a las caractersticas del macizo mxilo-mandibular. Esto motiv investigar la relacin entre niveles de inclusin de terceros molares mandibulares e ndices antropomtricos fsicos de la mandbula en grupos tnicos atacameos y aymaras del norte de Chile. De esta poblacin se estableci una muestra de 56 pacientes para la determinacin de grupos sanguneos y factor Rh y establecer el grado de mestizaje. Asimismo se efectu un examen clnico intra-oral para precisar el estado de erupcin o ausencia de terceros molares inferiores y se tomaron ortopantomografas para determinar el estado de inclusin o agenesia de los dientes no visibles en la cavidad oral, a travs de la clasificacin de profundidad respecto del lmite amelo-cementario del segundo molar presente. Finalmente, se procedi a registrar diferentes medidas del macizo mxilo-facial para establecer los ndices de la rama bilateral e ndice cigo-mandibular en cada uno de los individuos seleccionados. El estudio compara sus resultados con otras investigaciones y pudo determinar en ambas poblaciones indgenas la prevalencia de terceros molares inferiores (85,72% derecha y 83,93% izquierda.The pathology associated with the formation, development and eruption of third molars is one of the most frequent reasons for dental consults. Several authors agree that the third molar is the most frequent inclusion tooth, there is however, disagreement about the influence of environmental and racial factors that explain this condition. It is known that individuals of one ethnic group have particular physical characteristics, which are also observed at facial level according to characteristics of maxillo-mandibular mass. This prompted research regarding the relationship between levels of third molar inclusion and physical anthropometric indices of the mandible in Atacameo and Aymara ethnic groups in Northern Chile. A sample of 56 patients to determine blood type and Rh factor was established to assess the degree of mixing. An intra-oral clinical examination was also performed to clarify the state of eruption or absence of third molars. Radiographs were taken to determine the inclusion or agenesis if teeth were not visible in the oral cavity, through classification of depth on cementum-enamel boundary of the second molar present. Finally we proceeded to record various measurements of maxillo-facial massif to set the bilateral mandibular ramus and ziggo mandibular indexes in each of the selected individuals. The study compares results with other research and determined in both indigenous populations, the prevalence of third molars (85.72% right, and 83.93% left.

  5. Caries dental en los primeros molares permanentes en escolares

    Indira Gmez Capote

    2015-06-01

    Full Text Available Introduccin: en la edad escolar el diente permanente ms afectado por caries dental es el primer molar permanente, y la prevalencia de caries en ellos se asocia con actividad futura de caries. Por erupcionar sin haber exfoliado ningn elemento primario, las madres, desconocen que este es un diente permanente. Su destruccin parcial o total repercute en el desarrollo y crecimiento maxilofacial y la oclusin. Objetivos: describir la afectacin por caries dental en los primeros molares permanentes en escolares, as como el conocimiento de la madre sobre estos. Materiales y mtodos: se realiz un estudio observacional, descriptivo y transversal en la Escuela Primaria Mximo Gmez, de Alamar, en febrero de 2013. A 211 escolares se le efectu examen bucal, registrndose los primeros molares sanos, cariados, restaurados y perdidos. Se entrevistaron a las madres para saber sobre su conocimiento del primer molar permanente. Resultados: el 40,3 % tuvo al menos un primer molar permanente afectado. La frecuencia fue, en masculino, 50,6 %, y en la edad de 11 aos, 28,2 %. El ndice dental cariado obstruido perdido fue en el 26 y 46, de promedio 0,81 y 81 %, respectivamente. El desconocimiento de las madres fue del 64,3 % del total. Conclusiones: casi la mitad de la muestra presenta al menos un primer molar permanente afectado por caries dental y la edad de 11 aos es la ms frecuente. No se sealan diferencias en cuanto al sexo. La experiencia mayor de caries dental la presentan los molares 46 y 26. La mayora de las madres no tiene conocimientos acerca del primer molar permanente.

  6. Treatment of a Maxillary First Molar with Two Palatal Roots

    Asghari, Vahideh; Rahimi, Saeed; Ghasemi, Negin; Talebzadeh, Bita; Norlouoni, Ahmad

    2015-01-01

    Thorough knowledge of the morphology and internal anatomy of the root canal system is essential, because it determines the successful outcome of endodontic treatment. The main goal of endodontic treatment is to prevent apical periodontitis and/or to promote the healing of periapical lesion. Presence of two canals or roots on the palatal side of the first maxillary molar has rarely been reported. This case report presents a maxillary first molar with two separate palatal roots.

  7. Anxiety before extraction of impacted lower third molars

    Tarazona Alvarez, Beatriz; Tarazona lvarez, Pablo; Pearrocha Oltra, David; Rojo Moreno, Juan; Pearrocha Diago, Mara

    2015-01-01

    Objetives: Assess levels of trait anxiety, state anxiety and dental anxiety before extraction of lower third molars and check the correlation and reliability of the scales used for the measurement of preoperative anxiety. Study D esign: A prospective study of patients treated with extraction of a lower third molar between September 2010 to December 2010 was carried out. A total of 125 patients were included in the study. All of them were patients of the Oral Surgery and Impl...

  8. A generational comparison of changes in mandibular third molars.

    Tanaka T; Morimoto Y; Ohba T

    1999-01-01

    Due to recent increases in the number of cases of embedded mandibular third molars, the Department of Dental Radiology, Kyushu Dental College decided to investigate generational differences in their occurrence. For the purpose of investigation, 670 panoramic radiographs, obtained from two different generations (1970s and 1999s) of Kyushu Dental College students, wer used. There were significant statistical differences in the angle of eruption of the third molar between the 1970s and 1990s gro...

  9. Fusion or gemination? An unusual mandibular second molar

    Angela Jordão Camargo

    2016-01-01

    Full Text Available Fusion and gemination is not an uncommon finding and affected most primary dentition and the permanent maxillary incisors. These changes can develop a series of complication. A 11-year-old male presented radiography finding: an unusual mandibular second molar. A well-documented case brings a challenge for radiologists classify between fusion and gemination. In conclusion, this alteration although common in other regions, there are no case in the literature involving “second and third” molar.

  10. Prosthetic Rehabilitation of a Hemisected Maxillary Molar: A Rare Entity

    Yadav, Preeti; Tahir, Mohammed; Kumar, M. V. Sunil; Rao, Harikesh

    2012-01-01

    Gingival recession beyond grade III and grade IV level involving furcation defects can lead to tooth loss if not intervened at appropriate time. The treatment options include scaling and root planing, Furcation-plasty, Tunnel preparation, Root separation and resection. The chief complaint of the patient was pain in the upper left first molar because of grade III furcation involvement. Since it was a four rooted molar, the treatment of choice was hemisection of the tooth and extraction of the ...

  11. Bilateral maxillary fused second and third molars: a rare occurrence

    Liang, Rui-Zhen; Wu, Jin-Tao; Wu, You-Nong; Smales, Roger J.; Hu, Ming; Yu, Jin-Hua; Zhang, Guang-Dong

    2012-01-01

    This case report describes the diagnosis and endodontic therapy of maxillary fused second and third molars, using cone-beam computed tomography (CBCT). A 31-year-old Chinese male, with no contributory medical or family/social history, presented with throbbing pain in the maxillary right molar area following an unsuccessful attempted tooth extraction. Clinical examination revealed what appeared initially to be a damaged large extra cusp on the buccal aspect of the distobuccal cusp of the secon...

  12. Treatment of a Maxillary First Molar with Two Palatal Roots.

    Asghari, Vahideh; Rahimi, Saeed; Ghasemi, Negin; Talebzadeh, Bita; Norlouoni, Ahmad

    2015-01-01

    Thorough knowledge of the morphology and internal anatomy of the root canal system is essential, because it determines the successful outcome of endodontic treatment. The main goal of endodontic treatment is to prevent apical periodontitis and/or to promote the healing of periapical lesion. Presence of two canals or roots on the palatal side of the first maxillary molar has rarely been reported. This case report presents a maxillary first molar with two separate palatal roots. PMID:26523146

  13. Influence of molar ratios on properties of magnesium oxychloride cement

    A parametric study has been conducted to investigate the influences of the molar ratios of MgO/MgCl2 and H2O/MgCl2 on the properties of magnesium oxychloride (MOC) cement. By an integrated assessment of the experimental studies of strength development and X-ray diffractograms, together with application of the relevant phase diagram, it is recognized that the molar ratios of MgO/MgCl2 and H2O/MgCl2 can significantly affect the properties of MOC cement. For a MOC cement paste possessing a dominance of 5MgO.MgCl2.8H2O (phase 5) crystals, the molar ratios of MgO/MgCl2 of 11-17 and H2O/MgCl2 of 12-18 are found to be the most favorite ranges for design purpose. The choose of the molar ratio of H2O/MgCl2 is, however, largely depends on the molar ratio of MgO/MgCl2 mainly for controlling workability of paste. Therefore, the most critical parameter to be selected in the design process is the molar ratio of MgO/MgCl2, although the reactivity of the MgO powder is also important. Besides, the molar ratio can also be affected by the reactivity of the MgO powder to be employed. It is believed that a molar ratio of MgO/MgCl2 of 13, the most suitable one shown in this study, can be used as a starting point in the normal practice

  14. Kissing molars extraction: Case series and review of the literature

    Arjona-Amo, Manuel; Torres-Carranza, Eusebio; Batista-Cruzado, Antonio; Serrera-Figallo, Maria-Angeles; Crespo-Torres, Santos; Belmonte-Caro, Rodolfo; Albisu-Andrade, Claudio; Gutirrez-Prez, Jos-Luis

    2016-01-01

    Kissing molars are a very rare form of inclusion defined as molars included in the same quadrant, with occlusal surfaces contacting each other within a single dental follicle. We present four cases of this pathology: a 35 year-old male, referred to the Oral and Maxillofacial Surgery Department of the Hospital Virgen del Rocio in Seville, and three females of 24, 26, and 31 years, all of which had kissing molars that were treated by tooth extraction. We have found only 10 cases published in the medical literature in which this type of inclusion is briefly described, none of which elaborate on the surgical technique employed. In these cases, the indication for surgery is established when there is a history of recurring infections or cystic lesions associated with dental inclusions. The extraction of kissing molars requires an exhaustive comprehension of the anatomy of the region involved, sufficiently developed surgical abilities, and an extensive planning process. Key words:Impacted molar, kissing molar, surgical extraction. PMID:26855716

  15. Standard molar enthalpy of formation of methoxyacetophenone isomers

    Highlights: • Experimental and computational energetic study of methoxyacetophenone isomers. • Enthalpies of formation and phase transition determined by calorimetric techniques. • Quantum chemical calculations allowed estimation of enthalpies of formation. • Structure and energy correlations were established. - Abstract: Values of the standard (po = 0.1 MPa) molar enthalpy of formation of 2′-, 3′- and 4′-methoxyacetophenones were derived from their standard molar energy of combustion, in oxygen, at T = 298.15 K, measured by static bomb combustion calorimetry. The Calvet high temperature vacuum sublimation technique was used to measure the enthalpies of sublimation/vaporization of the compounds studied. The standard molar enthalpies of formation of the three compounds, in the gaseous phase, at T = 298.15 K, have been derived from the corresponding standard molar enthalpies of formation in the condensed phase and the standard molar enthalpies for the phase transition. The results obtained are −(232.0 ± 2.5), −(237.7 ± 2.7) and −(241.1 ± 2.1) kJ · mol−1 for 2′-, 3′- and 4′-methoxyacetophenone, respectively. Standard molar enthalpies of formation were also estimated from different methodologies: the Cox scheme as well as two different computational approaches using density functional theory-based B3LYP and the multilevel G3 methodologies

  16. A bracket design proposal for the first molar

    Roberto Scalon

    2010-07-01

    Full Text Available Introduction: The advent of bracket bonding simplified the assembly of orthodontic braces, besides giving more comfort to the patient and decreasing the risk of decalcification. However, there is no first molar bracket with accessory tube and hooks in the market, except for the convertible type.Objective:To present a patent for utility model of a bracket Roth prescription, Straight-Wire technique for first molar, in order to facilitate orthodontic treatment where there is a need for placing accessories in second molars.Material and methods:This patent consists of a molar bracket for bonding, which contains a retentive base for this, similar to the bracket used in the Edgewise technique,with fins for placing alastic or metal ligature,but containing pre-angles and torques as the tubes of the molar Straight-Wire technique with Roth prescription.It also includes an accessory tube for placing arches or cantilevers and hooks for placing elastics.Results and conclusion:With this bracket design proposal it is possible to obtain an accessory that facilitates the inclusion of the second molar in the assembly of the orthodontic brace without the use of bands.Moreover, this bracket has fins for placing ligatures,accessory tube for placing arches or cantilevers and hooks for placing elastics.

  17. Molar exergy and flow exergy of pure chemical fuels

    Expressions of the molar exergy and of the molar flow exergy of a pure chemical fuel are deduced rigorously from the basic principles of thermodynamics. It is shown that molar exergy and molar flow exergy coincide when the temperature T and the pressure p of the fuel are equal to the temperature TB and the pressure pB of the environment; a general relation between exergy and flow exergy is proved as a consequence. The deduction of the expression of the molar exergy of a chemical fuel for non-standard values of TB and pB is clarified. For hydrogen, carbon dioxide and several hydrocarbons, tables are reported to allow a simple calculation of the molar exergy of the fuel for any value of the temperature TB and the relative humidity ?B of the environment, in the range 268.15 K ? TB ? 313.15 K and 0.1 ? ?B ? 1, with reference to the standard atmospheric pressure. Additional tables are provided to evaluate the difference between the exergy or the flow exergy of the fuel in its given initial state and the exergy at T = TB and p = pB. In these tables, it is assumed that fuel and environment have the same temperature and that the fuel pressure varies in the range 1.01325 bar ? p ? 200 bar; the fuel may be gas or liquid.

  18. Caries dental en los primeros molares permanentes en escolares / Dental caries in the first permanent molars in school children

    Indira, Gmez Capote; Cristina Victoria, Hernndez Roca; Virgilio, Len Montano; Ana Mara, Camacho Surez; Maureen, Clausell Ruiz.

    2015-06-01

    Full Text Available Introduccin: en la edad escolar el diente permanente ms afectado por caries dental es el primer molar permanente, y la prevalencia de caries en ellos se asocia con actividad futura de caries. Por erupcionar sin haber exfoliado ningn elemento primario, las madres, desconocen que este es un diente [...] permanente. Su destruccin parcial o total repercute en el desarrollo y crecimiento maxilofacial y la oclusin. Objetivos: describir la afectacin por caries dental en los primeros molares permanentes en escolares, as como el conocimiento de la madre sobre estos. Materiales y mtodos: se realiz un estudio observacional, descriptivo y transversal en la Escuela Primaria Mximo Gmez, de Alamar, en febrero de 2013. A 211 escolares se le efectu examen bucal, registrndose los primeros molares sanos, cariados, restaurados y perdidos. Se entrevistaron a las madres para saber sobre su conocimiento del primer molar permanente. Resultados: el 40,3 % tuvo al menos un primer molar permanente afectado. La frecuencia fue, en masculino, 50,6 %, y en la edad de 11 aos, 28,2 %. El ndice dental cariado obstruido perdido fue en el 26 y 46, de promedio 0,81 y 81 %, respectivamente. El desconocimiento de las madres fue del 64,3 % del total. Conclusiones: casi la mitad de la muestra presenta al menos un primer molar permanente afectado por caries dental y la edad de 11 aos es la ms frecuente. No se sealan diferencias en cuanto al sexo. La experiencia mayor de caries dental la presentan los molares 46 y 26. La mayora de las madres no tiene conocimientos acerca del primer molar permanente. Abstract in english Background: in school age, the tooth most affected by dental caries is the first permanent molar, and the caries prevalence in them is associated to the future caries activity. Due to its eruption without the exfoliation of primary elements, mothers do not know that this is a permanent tooth. Its pa [...] rtial or total destruction affects the maxillofacial growth and development and leads to malocclusion. Aims: describing the damage due to dental caries in the first permanent molars in school children, and also their mothers knowledge on them. Material and methods: we carried out a cross-sectional, descriptive, observational study in the Primary School Maximo Gmez, of Alamar, in February 2013. Buccal exam was made to 211 schoolchildren, recording the healthy, carious, restored and lost first permanent molars. Mothers were interviewed to identify their knowledge on the first permanent molar. Results: 40,3 % of the sample had at least one permanent molar damaged. The frequency was, in male schoolchildren, 50,6 %, and at the age of 11 years, 28,2 %. The carious-obstructed-lost dental index in the 26 and 46 teeth was an average of 0,81 and 81 % respectively. Mothers lack of knowledge was 64,3 % of the total. Conclusions: almost half of the sample had at least one permanent molar damaged by dental caries and the most frequent age is 11 years. There are not differences according to de gender. The highest existence of dental caries is in 26 and 46 molars. Most of the mothers do not know about the first permanent molar.

  19. Solution viscosity – molar mass relationships for poly(butylene succinate) and discussion on molar mass analysis

    Q. Charlier; Girard, E; F. Freyermouth; M. Vandesteene; N. Jacquel; C. Ladaviere; A. Rousseau(MSSL, Surrey, United Kingdom); F. Fenouillot

    2015-01-01

    Poly(butylene succinate) (PBS) is currently developing due to its biodegradability and the similarity of its mechanical properties to those of polyolefins. Relationships between the number average molar mass, Mn, and solution viscosity such as [η] and ηred were derived for this aliphatic polyester. Mn values were determined by end-group analysis and size exclusion chromatography (SEC). Mark-Houwink-Sakurada (MHS) parameters were proposed in two solvents and for the different molar masses and ...

  20. An alternative approach to extruding a vertically impacted lower third molar using an orthodontic miniscrew: A case report with cone-beam CT follow-up

    Cortes, Arthur Rodriguez Gonzales; Cavalcanti, Marcelo Gusmaeo Paraiso; Arita, Emiko Saito [Dept. of Oral Radiology, School of Dentistry, University of Saeo Paulo, Saeo Paulo (Brazil); No-Cortes, Julian [Orthodontic Clinic, Saeo Paulo (Brazil)

    2014-06-15

    One of the most common oral surgical procedures is the extraction of the lower third molar (LTM). Postoperative complications such as paresthesia due to inferior alveolar nerve (IAN) injury are commonly observed in cases of horizontal and vertical impaction. The present report discusses a case of a vertically impacted LTM associated with a dentigerous cyst. An intimate contact between the LTM roots and the mandibular canal was observed on a panoramic radiograph and confirmed with cone-beam computed tomographic (CBCT) cross-sectional cuts. An orthodontic miniscrew was then used to extrude the LTM prior to its surgical removal in order to avoid the risk of inferior alveolar nerve injury. CBCT imaging follow-up confirmed the success of the LTM orthodontic extrusion.

  1. An alternative approach to extruding a vertically impacted lower third molar using an orthodontic miniscrew: A case report with cone-beam CT follow-up

    One of the most common oral surgical procedures is the extraction of the lower third molar (LTM). Postoperative complications such as paresthesia due to inferior alveolar nerve (IAN) injury are commonly observed in cases of horizontal and vertical impaction. The present report discusses a case of a vertically impacted LTM associated with a dentigerous cyst. An intimate contact between the LTM roots and the mandibular canal was observed on a panoramic radiograph and confirmed with cone-beam computed tomographic (CBCT) cross-sectional cuts. An orthodontic miniscrew was then used to extrude the LTM prior to its surgical removal in order to avoid the risk of inferior alveolar nerve injury. CBCT imaging follow-up confirmed the success of the LTM orthodontic extrusion.

  2. Pattern of third molar impaction in a Saudi population

    Ali H Hassan

    2010-10-01

    Full Text Available Ali H Hassan11Department of Preventive Dental Sciences, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi ArabiaObjective: To evaluate the current pattern of third molar impaction in a sample of Saudi patients.Methods: One thousand thirty-nine orthopantomograms (OPG of patients ranging in age from 19 to 46 years (536 males and 503 females were evaluated to determine the frequency of impacted third molars, their levels of eruption, and their angulations.Results: Four hundred twenty-two (40.5% of the 1039 OPG showed at least one impacted third molar, with no significant difference between males (222; 52.6% and females (200; 47.4% (P = 0.284. The most common number of impacted third molars per OPG was one (72.5%. Impacted third molars were 1.64 times more likely to occur in the mandible than in the maxilla. The most common angulation of impaction in the mandible was the mesial (33.4%, while the most common angulation in the maxilla, was the vertical (49.6%. Level B impaction was the most common in both maxilla (48.2% and mandible (67.7%. There was no significant difference in the frequency of impaction between the right and left sides in both jaws.Conclusion: The pattern of third molar impaction in the western region of Saudi Arabia is characterized by a high prevalence of impaction that is greater in the mandibles and with no sex predilection.Keywords: third molar, impaction, prevalence, Saudi

  3. Molar Intrusion in Open-bite Adults Using Zygomatic Miniplates.

    Marzouk, Eiman S; Abdallah, Essam Mohamed; El-Kenany, Walid A

    2015-01-01

    The aim of this study is to evaluate the skeletal, dental and soft tissue changes that arise after intrusion of the maxillary molars using zygomatic miniplates in adult skeletal anterior open bite patients. In addition to measuring the amount and rate of molar intrusion; with special emphasis on changes in the axial inclination of the intruded molars. The study group was composed of 13 anterior open bite patients (mean age 18 years, 8 months 2 years, 2 months) with posterior dentoalveolar excess. Mini-plates were placed in the zygomatic buttress bilaterally. The upper arch was segmentally leveled and a double Trans-Palatal Arch (TPA) was bonded. Closed NiTi coil spring was placed bilaterally between the book of the mini-plate just mesial and distal to the first molar buccal tube applying intrusive force of 450 gper side. Lateral and posteroanterior cephalograms were taken before intrusion (T1: post upper segmental leveling) and after intrusion (T2). Comparison between means before and after the intrusion was done using Wilcoxon Signed Ranks test (WSRT). Mandibular autorotation followed the molar intrusion, SNB and SN-Pog angles significantly increased while the ANB, MP-SN angle and N-S-Gn angle significantly decreased. The mean amount of accomplished molar intrusion was 3.1mm 0.74mm, with a rate of 0.36mm per month 0.08mm per month and a bite closure of 6.55mm 1.83mm. There was no significant buccal tip in the right and left molars upon intrusion. Conclusion: Miniplates zygomatic anchorage can be used effectively for skeletal open bite correction through posterior dento-alveolar intrusion. Intrusion of the posterior teeth with skeletal anchorage induced counterclockwise rotation of the mandible and, as a consequence, corrected the anteroposterior intermaxillary relationship with a dramatic improvement in the facial soft tissue convexity. PMID:26349291

  4. Prevalence of missing and impacted third molars in adults aged 25 years and above

    The purpose of this study was to determine the prevalence of missing and impacted third molars in people aged 25 years and above. The study sample of 3,799 patients was chosen randomly from patients who visited Pusan National University Dental Hospital and had panoramic radiographs taken. The data collected included presence and impaction state, angulation, and depth of impaction of third molars, and radiographically detected lesions of third molars and adjacent second molars. A greater percentage of men than women retained at least one third molar. The incidence of third molars decreased with increasing age. The incidence of partially impacted third molars greatly declined after the age of 30. Vertically impacted maxillary third molars and horizontally impacted mandibular third molars were most frequent in all age groups. Among the maxillary third molars, those impacted below the cervical line of the second molar were most frequent in all age groups, and among the mandibular third molars, deeply impacted third molars were most frequent in those aged over 40. Dental caries was the most common radiographic lesion of the third molars. Mesioangularly impacted third molars showed radiographic lesions in 13 (9.5%) adjacent maxillary second molars and 117 (27.4%) mandibular second molars. The number of remaining third molars decreased and the percentage of Class C depth increased with age. Caries was the most frequent lesion in third molars. Partially impacted mesioangular third molars showed a high incidence of caries or periodontal bone loss of the adjacent second molar. Regular oral examination will be essential to keep asymptomatic third molars in good health.

  5. Prevalence of missing and impacted third molars in adults aged 25 years and above

    Jung, Yun Hoa; Cho, Bong Hae [Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University, Yansan (Korea, Republic of)

    2013-12-15

    The purpose of this study was to determine the prevalence of missing and impacted third molars in people aged 25 years and above. The study sample of 3,799 patients was chosen randomly from patients who visited Pusan National University Dental Hospital and had panoramic radiographs taken. The data collected included presence and impaction state, angulation, and depth of impaction of third molars, and radiographically detected lesions of third molars and adjacent second molars. A greater percentage of men than women retained at least one third molar. The incidence of third molars decreased with increasing age. The incidence of partially impacted third molars greatly declined after the age of 30. Vertically impacted maxillary third molars and horizontally impacted mandibular third molars were most frequent in all age groups. Among the maxillary third molars, those impacted below the cervical line of the second molar were most frequent in all age groups, and among the mandibular third molars, deeply impacted third molars were most frequent in those aged over 40. Dental caries was the most common radiographic lesion of the third molars. Mesioangularly impacted third molars showed radiographic lesions in 13 (9.5%) adjacent maxillary second molars and 117 (27.4%) mandibular second molars. The number of remaining third molars decreased and the percentage of Class C depth increased with age. Caries was the most frequent lesion in third molars. Partially impacted mesioangular third molars showed a high incidence of caries or periodontal bone loss of the adjacent second molar. Regular oral examination will be essential to keep asymptomatic third molars in good health.

  6. Neoplasms of the inferior vena cava - pictorial essay

    This pictorial essay reviews common and rare neoplasms affecting the inferior vena cava (IVC, Table 1), with a particular emphasis on the clinical implications and the role and efficacy of the various imaging techniques. (author)

  7. Occlusion of inferior vena cava: features by radionuclide venography

    Six adults with inferior vena caval obstruction are presented. Three were the results of surgical intervention, two were secondary to large thrombi, and one was due to pressure from a large renal-cell carcinoma and adjacent nodes. All underwent a modified approach of radionuclide venography, using a moderately large volume of sodium pertechnetate. Features characteristic of inferior vena caval obstruction were demonstrated in five of the six patients, and these various features are described and discussed

  8. Uterine rupture following incomplete molar pregnancy: a case report

    Pourali L

    2013-03-01

    Full Text Available Background: In molar pregnancy, when hydatidiform changes are local and some embryonic components are observed, the term of partial mole is used. The risk of persistent trophoblastic tumor after partial mole is much lower than complete mole. In this persistent cases almost all are non metastatic. The aim of this study is to report a case of uterine rupture following incomplete molar pregnancy.Case presentation: The patient was a 26 year old woman with obstetric history of an abortion and one molar pregnancy and no child. She was referred to emergency unit in Ghaem University Hospital, Mashhad, Iran in May 2011. She had an evacuation curettage following molar pregnancy three months before and without any follow up visit. The patient was referred to emergency unit with hemorrhagic shock. She immediately underwent laparotomy. The uterine fundal rupture was repaired and evacuation curettage performed. In post operative evaluation, she had a nine millimeter metastatic nodule in base of right Lung. As a patient in low risk stage III, she received weekly intramuscular methotrexate (40mg/m2 for six courses. In follow up visit ?-hCG titer was negative (<10miu/ml at 5th week. Conclusion: In cases of in complete molar pregnancy risk of metastasis is very low. Serial beta-hCG titer is the most accurate method for detection of persistent gestational trophoblastic disease (GTN. In neglected cases like this case preservation of ruptured uterus in GTN is possible.

  9. Histopathologic Evaluation of Follicular Tissues Associated with Impacted Third Molars

    M. Khorasani

    2008-06-01

    Full Text Available Objective: The aim of the present study was to histopathologically evaluate follicular tissues of third molars with pericoronal radiolucenciesof less than 2 millimeters.Materials and Methods: In this descriptive analytic study, 100 impacted third molars with normal follicular spaces were removed and their pericoronaltissues submitted for histopathologic examination. Different characteristicsof the epithelium and connective tissue were evaluated in all cases. Statisti-cal analysis was performed using chi square and Mann-Whitney tests.Results: In our study sample, 74% of the patients were female and 26% were male, ranging in age from 13 to 54 years (mean, 25.3 years. Lining epithelium was observed in 69% of the specimens of which 31%, 23% and 14% was cuboidal, squamous and columnar, respectively. A significant re-lationship was found between the presence of squamous epithelium and pa-tient age (P<0.05. Nonspecific chronic inflammation was the only patho-logic finding observed in 44% of the specimens. Inflammation was signifi-cantly associated with age and squamous metaplasia (P<0.05.Conclusion: Considering that pathologic lesions were not observed in anyof the studied cases, unerupted third molars should not be removed unless there is a clinical indication to do so, or in case the impacted molar shows evidence of pathological changes. Follow-up is suggested for asympto-matic impacted third molars.

  10. Iatrogenic displacement of impacted third molar. Case report

    Konstantinos TSIKLAKIS

    2013-08-01

    Full Text Available Peri-operative complications may occur during the surgical extraction of impacted mandibular third molars such as the iatrogenic displacement of the whole tooth or a tooth fragment in to the adjacent anatomical structures. The purpose of this case report is to present the diagnosis and treatment planning, as well as the surgical management required for the removal of a 3rd molar displaced in the soft tissues of the floor of the mouth. A 38-year old male patient presented to the Dental School, complaining of pain around the left submandibular area that started three months after the extraction of the impacted mandibular left third molar. At the radiographic examination the tooth was detected in the soft tissues of the floor of the mouth and in close proximity to the lingual plate. It is noteworthy that the patient was under the assumption that the tooth had been extracted successfully. Radiographically the tooth appeared at an 180 turnaround from its original position. Surgical extraction of the displaced third molar took place under local anaesthesia. No post-operative complications were reported. Thorough clinical and radiographic examination, as well as competency at surgical procedures are prerequisites for the appropriate surgical management of impacted third molars.

  11. Extração de incisivo inferior: uma opção terapêutica Mandibular incisor extraction: a terapeutic option

    Camilo Massa Ferreira Lima; Eduardo Lacet; Candice Ramos Marques

    2005-01-01

    O planejamento ortodôntico em casos de apinhamento, normalmente oscila entre não extração e extrações de quatro pré-molares. Em determinadas situações a escolha por uma alternativa ou outra pode provocar conseqüências negativas. A extração de um incisivo inferior em casos bem selecionados é uma abordagem eficiente, pouco explorada na literatura. Entretanto, para sua correta indicação o ortodontista precisa conhecer as variáveis que envolvem este tipo de terapia. O objetivo deste trabalho é ab...

  12. Standard molar enthalpies of formation of monochloroacetophenone isomers

    Ribeiro da Silva, Manuel A.V., E-mail: risilva@fc.up.p [Centro de Investigacao em Quimica, Department of Chemistry and Biochemistry, Faculty of Science, University of Porto, Rua do Campo Alegre, 687, P-4169-007 Porto (Portugal); Amaral, Luisa M.P.F. [Centro de Investigacao em Quimica, Department of Chemistry and Biochemistry, Faculty of Science, University of Porto, Rua do Campo Alegre, 687, P-4169-007 Porto (Portugal)

    2010-12-15

    The standard (p{sup 0}=0.1MPa) molar enthalpies of formation of the liquids 2'-, 3'-, and 4'-chloroacetophenones were derived from the standard molar energies of combustion, in oxygen, to yield CO{sub 2}(g) and HCl . 600H{sub 2}O(l), at T = 298.15 K, measured by rotating-bomb combustion calorimetry. The Calvet microcalorimetry was used to measure the enthalpies of vaporization of the three compounds. These two thermodynamic parameters yielded the standard molar enthalpies of formation of the chloroacetophenone isomers, in the gaseous phase, at T = 298.15 K. (table) An empirical scheme, developed by Cox, was used to estimate the gas-phase enthalpies of formation and the obtained values were compared with the experimental ones.

  13. Five canalled and three rooted mandibular first molar: A rarity

    Vinay Kumar Bhardwaj

    2013-01-01

    Full Text Available Success of endodontic treatment depends on the proper identification of all the canals, thorough chemo-mechanical preparation followed by three dimensional obturation with hermetic seal. Failure of any of these steps may occur due to unusual tooth morphology. Usually mandibular molars have two roots with three canals (mesiobucccal, mesiolingual and distal but in few teeth, the number of roots and canals vary. The variation in the number of roots is called radix entomolaris. This article presents a case report of mandibular first molar with extra distal root and five root canals. This report highlights the importance of radiographic examination and points out the need to look for additional canals and unusual canal morphology associated with a mandibular first molar.

  14. Solution viscosity – molar mass relationships for poly(butylene succinate and discussion on molar mass analysis

    Q. Charlier

    2015-05-01

    Full Text Available Poly(butylene succinate (PBS is currently developing due to its biodegradability and the similarity of its mechanical properties to those of polyolefins. Relationships between the number average molar mass, Mn, and solution viscosity such as [η] and ηred were derived for this aliphatic polyester. Mn values were determined by end-group analysis and size exclusion chromatography (SEC. Mark-Houwink-Sakurada (MHS parameters were proposed in two solvents and for the different molar masses and viscosity measurement methods. As an example, the MHS equations were respectively, [η] =6.4•10–4•Mn0.67 in chloroform and [η] = 7.1•10–4•Mn0.69 in 50/50 wt% 1,2-dichlorobenzene/phenol at 25°C for molar masses measured by SEC in hexafluoro isopropanol (HFIP with poly(methyl methacrylate (PMMA standards. Empirical relationships were also suggested to derive Mn directly from reduced viscosity, ηred, which is much easier to determine than intrinsic viscosity. With these data, the number average molar mass of PBS can be conveniently estimated from a single viscosity measurement. In addition, it was shown that PBS contains 1–2 wt% of cyclic oligomers produced during esterification and that molar masses determined by taking this fraction into account or not were significantly different, especially for long chains.

  15. Sex assessment by molar odontometrics in North Indian population

    Ramandeep Singh Narang

    2015-01-01

    Full Text Available Introduction: Human identification is based on scientific principles, mainly involving dental records, fingerprints, estimation of age, postmortem reports, differentiation by blood groups, and DNA comparisons. Sex assessment is one of the prime factors employed to assist with the identification of an individual. Aims and Objective: To investigate univariate sex differences in the dimensions of permanent first molars and to assess sex, based on buccolingual (BL and mesiodistal (MD dimensions of permanent first molars in a population of north India. In addition, the study intended to evaluate the reliability of dimensional variation of these teeth in assessment of sex among the population. Materials and Methods: The study sample consists of 410 adult individuals (200 males and 210 females, from a north Indian population. The BL and MD diameters of the permanent first molars were measured using digital vernier callipers. Results: It was observed statistically significant difference between males and females with P < 0.05, in maxillary casts in both BL and MD dimensions; but only in the MD dimension in mandibular casts. A high level of sexual dimorphism of 7.7% was found in the BL dimension of the maxillary right first molar. The accuracy of sex assessment by each dimension was deliberated by univariate analyses with an overall accuracy ranging from 67.5 to 88% for various dimensions. Conclusion: Sexual dimorphism of teeth is population specific and among north Indian population, BL and MD dimensions in maxillary first molar and MD dimension in mandibular first molar can be used for sex assessment.

  16. Piezoelectric Versus Conventional Rotary Techniques for Impacted Third Molar Extraction

    Jiang, Qian; Qiu, Yating; Yang, Chi; Yang, Jingyun; Chen, Minjie; Zhang, Zhiyuan

    2015-01-01

    Abstract Impacted third molars are frequently encountered in clinical work. Surgical removal of impacted third molars is often required to prevent clinical symptoms. Traditional rotary cutting instruments are potentially injurious, and piezosurgery, as a new osteotomy technique, has been introduced in oral and maxillofacial surgery. No consistent conclusion has been reached regarding whether this new technique is associated with fewer or less severe postoperative sequelae after third molar extraction. The aim of this study was to compare piezosurgery with rotary osteotomy techniques, with regard to surgery time and the severity of postoperative sequelae, including pain, swelling, and trismus. We conducted a systematic literature search in the Cochrane Library, PubMed, Embase, and Google Scholar. The eligibility criteria of this study included the following: the patients were clearly diagnosed as having impacted mandibular third molars; the patients underwent piezosurgery osteotomy, and in the control group rotary osteotomy techniques, for removing impacted third molars; the outcomes of interest include surgery time, trismus, swelling or pain; the studies are randomized controlled trials. We used random-effects models to calculate the difference in the outcomes, and the corresponding 95% confidence interval. We calculated the weighted mean difference if the trials used the same measurement, and a standardized mean difference if otherwise. A total of seven studies met the eligibility criteria and were included in our analysis. Compared with rotary osteotomy, patients undergoing piezosurgery experienced longer surgery time (mean difference 4.13 minutes, 95% confidence interval 2.755.52, P?extraction of impacted third molars. PMID:26469902

  17. Endodontic management of a maxillary molar with three mesiobuccal canals.

    Gundam, Sirisha; Maddu, Radhika; Gurram, Sindhura Reddy

    2014-01-01

    It is imperative that the clinician should have comprehensive knowledge about the normal anatomy and its variations of the teeth as the deviations from the usual are very common. An increased awareness of unusual anatomy and a better understanding of the root canal system guide the clinician in accurate diagnosis and treatment of such variations in order to achieve a successful endodontic outcome. The maxillary first molar has been shown to have a wide variation in respect to the number of canals specifically noted in the mesiobuccal root. The current case report shows the successful management of a maxillary molar in which the mesiobuccal root had three canals. PMID:25505997

  18. Surveillance without chemotherapy in a woman with recurrent molar pregnancy

    Bagga, Rashmi; Siwatch, Sujata; Srinivasan, Radhika; Dhaliwal, Lakhbir Kaur

    2013-01-01

    A 27-year-old fouth gravida patient with previous two partial molar pregnancies and one missed abortion underwent a suction evacuation for partial molar pregnancy at 9 weeks of gestation. She was followed up with serum HCG values. Though the HCG level reduced from a pre-evacuation value of 1 40 223–31 157 mIU/ml 1 week post procedure, the levels continued to be positive in low titres 6 months after suction evacuation. The management options were discussed with the patient and a decision was t...

  19. Clinical and orthopantomographic evaluation of mandibular third molar

    F K Saraswati

    2010-01-01

    Full Text Available Objective: To evaluate sensitivity of orthopentograph (OPG in assessing the number and morphology of roots of the mandibular third molar. Materials and Methods : The study population consisted of 100 ILTMs (impacted lower third molars ranging from 18 to 42 years with equal sex distribution. All the teeth were subsequently extracted , collected and compared with OPG features for position, numb,er, morphology, and relation to mandibular canal. Conclusion: In conclusion, a large sample study is suggested with techniques like Clark?s and right angle technique which determines the three-dimensional orientation of the impacted teeth.

  20. Molar tooth carbonates and benthic methane fluxes in Proterozoic oceans

    Shen, Bing; Dong, Lin; Xiao, Shuhai; Lang, Xianguo; Huang, Kangjun; Peng, Yongbo; Zhou, Chuanming; Ke, Shan; Liu, Pengju

    2016-01-01

    Molar tooth structures are ptygmatically folded and microspar-filled structures common in early- and mid-Proterozoic (~2,500-750 million years ago, Ma) subtidal successions, but extremely rare in rocks methane generation and methanethiol inhibited anaerobic oxidation of methane, resulting in the buildup of CH4, formation of degassing cracks in sediments and an increase in the benthic methane flux from sediments. Precipitation of crack-filling microspar was driven by methanogenesis-related alkalinity accumulation. Deep ocean ventilation and oxygenation around 750 Ma brought molar tooth structures to an end.

  1. Restauraciones cerámicas en molares jóvenes con endodoncia Ceramics restorations in young molars with endodontic

    M. Urdaneta Quintero

    2009-12-01

    Full Text Available Objetivo: Efectuar restauraciones cerámicas Cerec (feldespática y de dióxido de circonio en molares jóvenes con endodoncia, para prevenir complicaciones en el aparato estomatognático por la pérdida de estos dientes. Material y métodos: Se describe la confección de restauraciones cerámicas a nivel de la zona molar mandibular derecha de un paciente del género femenino de 18 años de edad, a quien se le realizó radiografía periapical, por presentar dolor espontáneo en el lado derecho mandibular. Se diagnosticó una pulpitis irreversible en el primer y segundo molar que fue tratada endodónticamente. Las restauraciones cerámicas de ambos molares fueron confeccionadas con los sistemas CAD/CAM Cerec y evaluadas clínicamente a los 6 y 12 meses, de acuerdo a los criterios establecidos por el Servicio de Salud Pública de los Estados Unidos (USPHS. Resultados: La evaluación clínica evidenció que las estructuras de cerámica feldespática y de dióxido de circonio ofrecen en el lapso evaluado, adecuada forma anatómica, adaptación marginal, estabilidad en el color, ausencia de caries recidiva a nivel de dientes del sector posterior con tratamiento endodóntico y aceptación del paciente.Purpose: Make a ceramic restoration (feldsphatic and zirconium dioxide in young molars with endodontic treatment, to prevent further complications in the stomatognathic apparatus for the loss of these teeth. Material and methods: It describes the making of ceramic restorations in the right mandibular molar area to a female patient of 18 years old, to whom it was made a periapical radiography, for presenting spontaneous pain on the mandibular right side. It was diagnosed as an irreversible pulpitis at the first and second molar, that were treated endodontically. The ceramic restorations of both molars were made with the Cerec CAD/CAM system and were examined after 6 and 12 months in accordance with the US Public Health Service (USPHS criteria at baseline. Results: The clinical evaluation showed that the structures of feldspathic ceramic and zirconium dioxide in the offer period evaluated presented, proper anatomical shape, marginal adaptation, color stability, absence of recurrence cavities in the posterior teeth with endodontic treatment and acceptance of the patient.

  2. Comparison of conduction abnormalities between anterior and inferior myocardial infarction

    To compare the conduction abnormalities between anterior and inferior myocardial infarction. Methodology: Study was conducted from 1st January 2011 to 30th June 2011 in Cardiology Department Lady Reading Hospital Peshawar. Patients who presented with acute Myocardial infarction were included in the study. Patients having renal failure, Hypokalemia, Hyperkalemia, history of valve replacement, coronary artery bypass graft and those who were using Beta blocker,Lanoxin and Calcium channel blocker (Verapamil,Diltiazem) were excluded from the study. Results: A total of 600 patients were studied. Out of these 309 had acute Anterior Myocardial Infarction and remaining had acute Inferior Myocardial Infarction. The number of male patients were 70%. Mean age was 58.8 years. Conduction abnormalities were demonstrated in 12.16% patients. Amongst patients with Ant MI,3.5% patients developed atrioventricular blocks and 7.1% Intraventricular conduction defects, In inferior MI 11.3% were atrioventricular and 2.4% were Intraventricular conduction defects. There were more intraventricular defects in anterior MI while atrioventricular defects were more common in inferior MI. Conclusion: Conduction abnormalities are common findings in acute myocardial infarction. Intraventricular conduction abnormalities are more common in anterior MI and atrioventricular conduction abnormalities are more common in inferior MI. (author)

  3. The effects of inferior olive lesion on strychnine seizure

    Bilateral inferior olive lesions, produced by systemic administration of the neurotoxin 3-acetylpyridine (3AP) produce a proconvulsant state specific for strychnine-induced seizures and myoclonus. We have proposed that these phenomena are mediated through increased excitation of cerebellar Purkinje cells, through activation of glutamate receptors, in response to climbing fiber deafferentation. An increase in quisqualic acid (QA)-displaceable [3H]AMPA [(RS)-alpha-amino-3-hydroxy-5-methyl-isoxazole-4-propionic acid] binding in cerebella from inferior olive-lesioned rats was observed, but no difference in [3H]AMPA binding displaced by glutamate, kainic acid (KA) or glutamate diethylester (GDEE) was seen. The excitatory amino acid antagonists GDEE and MK-801 [(+)-5-methyl-10,11-dihydro-5H-dibenzo[a,d]cyclo-hepten-5,10 imine] were tested as anticonvulsants for strychnine-induced seizures in 3AP inferior olive-lesioned and control rats. Neither drug effected seizures in control rats, however, both GDEE and MK-801 produced a leftward shift in the strychnine-seizure dose-response curve in 3AP inferior olive-lesioned rats. GDEE also inhibited strychnine-induced myoclonus in the lesioned group, while MK-801 had no effect on myoclonus. The decreased threshold for strychnine-induced seizures and myoclonus in the 3AP-inferior olive-lesioned rats may be due to an increase in glutamate receptors as suggested by the [3H]AMPA binding data

  4. Inferior oblique muscle paresis as a sign of myasthenia gravis.

    Almog, Yehoshua; Ben-David, Merav; Nemet, Arie Y

    2016-03-01

    Myasthenia gravis may affect any of the six extra-ocular muscles, masquerading as any type of ocular motor pathology. The frequency of involvement of each muscle is not well established in the medical literature. This study was designed to determine whether a specific muscle or combination of muscles tends to be predominantly affected. This retrospective review included 30 patients with a clinical diagnosis of myasthenia gravis who had extra-ocular muscle involvement with diplopia at presentation. The diagnosis was confirmed by at least one of the following tests: Tensilon test, acetylcholine receptor antibodies, thymoma on chest CT scan, or suggestive electromyography. Frequency of involvement of each muscle in this cohort was inferior oblique 19 (63.3%), lateral rectus nine (30%), superior rectus four (13.3%), inferior rectus six (20%), medial rectus four (13.3%), and superior oblique three (10%). The inferior oblique was involved more often than any other muscle (pmimic every pupil-sparing pattern of ocular misalignment. In addition diplopia caused by paresis of the inferior oblique muscle is rarely encountered (other than as a part of oculomotor nerve palsy). Hence, when a patient presents with vertical diplopia resulting from an isolated inferior oblique palsy, myasthenic etiology should be highly suspected. PMID:26531848

  5. STUDY ON VARIATIONS OF INFERIOR SEGMENTAL BRANCH OF RENAL ARTERY

    Chandragirish S

    2014-11-01

    Full Text Available Background: The segmental arteries of the kidney supply the organ in such a way that, each renal pole receives its own artery while, the anterior portion between the poles is supplied by an upper and lower segmental vessel. These two arteries also include in their territory the lateral edge of the kidney and adjacent to the strip of parenchyma on the dorsal or posterior aspect of the organ. The knowledge of inferior segmental branch of renal artery is very important for surgeries in its distribution area in kidney. Materials and Methods: 100 kidneys (Fifty pairs intact with abdominal aorta were collected from department of Forensic medicine, JSS Medical College and Mysore Medical College. For study of segmental variation Corrosion cast technique method was used. The variations of inferior segmental branch of renal artery were observed and recorded. Results: In present study type I inferior segmental branch of renal artery were found in - 59% cases, type II in - 6% cases, type III in - 28% cases, type IV in - 2% cases. Conclusion: The inferior segmental artery from the anterior division of the renal artery is the commonest event –arising in 59%. This is Type I, the normal type. It arises from the renal artery (28% or from the posterior division (6% or from the aorta (2%. The knowledge of inferior segmental branch of renal artery helpful in kidney transplantation and renal surgery because these type of surgeries success mainly depends on arterial ligations.

  6. Anterior ST segment depression in acute inferior myocardial infarction as a marker of greater inferior, apical, and posterolateral damage

    The clinical significance of anterior precordial ST segment depression during acute inferior myocardial infarction was evaluated in 67 consecutive patients early after onset of symptoms with gated blood pool scans, thallium-201 perfusion images, and 12-lead ECGs. Patients with anterior ST depression (n = 33) had depressed mean values for left ventricular ejection fraction (54 +/- 2% [mean +/- S.E.M.] vs 59 +/- 2%; p = 0.02), cardiac index (3.1 +/- 0.2 vs 3.6 +/- 0.2 L/m2; p = 0.03), and ratio of systolic blood pressure to end-systolic volume (2.0 +/- 0.1 vs 2.5 +/- 0.3 mm Hg/ml; p = 0.04) compared to patients with no anterior ST depression (n = 34). Patients with anterior ST depression had (1) lower mean wall motion values for the inferior, apical, and inferior posterolateral segments (p less than 0.05) and (2) greater reductions in thallium-201 uptake in the inferior and posterolateral regions (p less than 0.05). However, anterior and septal (1) wall motion and (2) thallium-201 uptake were similar in patients with and without ST depression. Thus, anterior precordial ST segment depression in patients with acute inferior wall myocardial infarction represents more than a reciprocal electrical phenomenon. It identifies patients with more severe wall motion impairment and greater hypoperfusion of the inferior and adjacent segments. The poorer global left ventricular function in these patients is a result of more extensive inferior infarction and not of remote septal or anterior injury

  7. Molar Intubation for Intra Oral Swellings:Our Experience

    Meenoti Potdar

    2008-01-01

    Full Text Available Molar intubation is a technique of laryngoscopy that can be used for anticipated difficult intubation in cases where standard laryngoscopy technique is difficult due to presence of any intraoral mass that anatomically hampers laryngoscopy or that bleeds on touch. This technique is very easy, reliable and rewarding but should be practiced on normal patients for easy application in actual difficult cases.

  8. Standard molar enthalpies of formation of 1- and 2-cyanonaphthalene

    Ribeiro da Silva, Manuel A.V., E-mail: risilva@fc.up.pt [Centro de Investigacao em Quimica, Department of Chemistry and Biochemistry, Faculty of Science, University of Porto, Rua do Campo Alegre, 687, P-4169-007 Porto (Portugal); Lobo Ferreira, Ana I.M.C.; Barros, Ana L.M.; Bessa, Ana R.C.; Brito, Barbara C.S.A.; Vieira, Joana A.S.; Martins, Silvia A.P. [Centro de Investigacao em Quimica, Department of Chemistry and Biochemistry, Faculty of Science, University of Porto, Rua do Campo Alegre, 687, P-4169-007 Porto (Portugal)

    2011-09-15

    Highlights: > Enthalpies of formation of 1- and 2-cyanonaphthalene were measured by combustion calorimetry. > Vapor pressures of crystalline 1- and 2-cyanonaphthalene obtained by Knudsen effusion mass loss technique. > Enthalpies, entropies and Gibbs functions of sublimation at T = 298.15 K were calculated. - Abstract: The standard (p{sup o} = 0.1 MPa) molar enthalpies of formation, in the crystalline state, of the 1- and 2-cyanonaphthalene were derived from the standard molar energies of combustion, in oxygen, at T = 298.15 K, measured by static-bomb combustion calorimetry. Vapor pressure measurements at different temperatures, using the Knudsen mass loss effusion technique, enabled the determination of the enthalpy, entropy, and Gibbs energy of sublimation, at T = 298.15 K, for both isomers. The standard molar enthalpies of sublimation, at T = 298.15 K, for 1- and 2-cyanonaphthalene, were also measured by high-temperature Calvet microcalorimetry. (table) Combining these two experimental values, the gas-phase standard molar enthalpies, at T = 298.15 K, were derived and compared with those estimated by employing two different methodologies: one based on the Cox scheme and the other one based on G3MP2B3 calculations. The calculated values show a good agreement with the experimental values obtained in this work.

  9. Term Pregnancy with Partial Molar Changes of Placenta

    Amita Gupta,Yudhister Veer Gupta

    2003-04-01

    Full Text Available A rare case report of successful term pregnancy with partial molar changes of placenta is beingreported. The patient was 2nd gravida with twin pregnancy with pregnancy induced hypertension(Pili. Patient under went LSCS and gave birth to two healthy looking babies. She was followed upand serum HCG (Human Chorinic Gouadotrophin level returned to normal within 4 weeks afterdelivery.

  10. Lower molar and incisor displacement associated with mandibular remodeling.

    Baumrind, S; Bravo, L A; Ben-Bassat, Y; Curry, S; Korn, E L

    1997-01-01

    The purpose of this study was to quantify the amount of alveolar modeling at the apices of the mandibular incisor and first molar specifically associated with appositional and resorptive changes on the lower border of the mandible during growth and treatment. Cephalometric data from superimpositions on anterior cranial base, mandibular implants of the Björk type, and anatomical "best fit" of mandibular border structures were integrated using a recently developed strategy, which is described. Data were available at annual intervals between 8.5 and 15.5 years for a previously described sample of approximately 30 children with implants. The average magnitudes of the changes at the root apices of the mandibular first molar and central incisor associated with modeling/remodeling of the mandibular border and symphysis were unexpectedly small. At the molar apex, mean values approximated zero in both anteroposterior and vertical directions. At the incisor apex, mean values approximated zero in the anteroposterior direction and averaged less than 0.15 mm/year in the vertical direction. Standard deviations were roughly equal for the molar and the incisor in both the anteroposterior and vertical directions. Dental displacement associated with surface modeling plays a smaller role in final tooth position in the mandible than in the maxilla. It may also be reasonably inferred that anatomical best-fit superimpositions made in the absence of implants give a more complete picture of hard tissue turnover in the mandible than they do in the maxilla. PMID:9107373

  11. Non-compliance Appliances for Upper Molar Distalization: An Overview.

    Noorollahian, Saeed; Alavi, Shiva; Shirban, Farinaz

    2015-01-01

    Tooth Size Arch-length Discrepancy (TSALD) is a common problem in orthodontics. Its clinical signs are tooth crowding, impaction and incisor proclination. The treatment options are dental arch expansion or tooth mass reduction (stripping or extraction). The "extraction versus non-extraction" controversy has been widely debated in the orthodontic literature. Distalization is a kind of arch expansion in anetro-posterior dimension. Several studies have evaluated both the therapeutic effectiveness and the side effects of the appliances for this method of space gaining. In some cases molar distalization is preferred, e.g., a patient with acceptable profile and skeletal pattern and half cusp Class II molar malocclusion or even less. In some cases molar distalization is the only way, e.g., the patient with previous upper premolar extraction and excessive overijet, or a skeletal Class III patient with previous upper premolar extraction needed upper anterior teeth retraction to create reverse overjet aspre surgical orthodontic decompensation. In this review article, we described non-compliance upper molar distalizing appliances. PMID:26720949

  12. Anterior tympanic plate fracture following extraction of the lower molar

    2016-01-01

    The present case report describes an external auditory canal injury following extraction of the lower molar. The external auditory canal was torn in the same fashion that occurs in an anterior tympanic plate fracture. This case demonstrates one of the rare complications associated with dental extractions. PMID:26904496

  13. Anquilose em molares decduos - relato de caso clnico

    Milca Telles dos Santos

    2009-01-01

    and/or invasive options for treatment and continuous care.This article relates a case report of severe bilateral ankylosis of lower deciduous molars, whose proposed treatment was the extraction and the installation of a space regain. Therefore, we tried to avoid an occlusal disharmony.

  14. Preparation of tritiated aniline of high molar activity

    Synthesis technique of aniline, tritiated by aminogroup and ortho- and para-pisition of aromatic ring without carrier is proposed. The technique is based on azobenzene reduction splitting by gaseous tritium on palladium catalyser under, static conditions. The molar activity of aniline produced makes up 10.4x1014 Bq/mol

  15. Miniscrew-supported coil spring for molar uprighting: description

    Antnio Carlos de Oliveira Ruellas

    2013-02-01

    Full Text Available INTRODUCTION: Since the beginning of miniscrews as orthodontic anchorage, many applications have been described in the literature. Among these, one is the uprighting of mesially inclined molars. In regard to the mechanical aspects, however, there is little information about the application of orthodontic forces using such devices. OBJECTIVE: The objective of this study was to describe a miniscrew supported spring for uprighting of mesially inclined molars. With this device, one can achieve the correct use of orthodontic biomechanics, thus favoring more predictable tooth movements and preventing unwanted movements from occurring.INTRODUO: desde o surgimento dos mini-implantes como recurso de ancoragem ortodntica, muitas aplicaes tm sido descritas na literatura. Entre essas, cita-se a verticalizao de molares inclinados para mesial. No entanto, pouco se fala da correta aplicao das foras ortodnticas nesses dispositivos, sob o ponto de vista mecnico. OBJETIVOS: o objetivo desse artigo foi demonstrar uma mola mini-implante suportada para verticalizar molares inclinados para mesial. Com esse dispositivo consegue-se correta aplicao da mecnica ortodntica, favorecendo movimentos mais previsveis e minimizando os movimentos indesejveis.

  16. Spiral CT in aplasia of the pre-renal inferior vena cava as a cause of phlebothrombosis from the femoral veins to the inferior vena cava

    The case report focuses on the computed tomography of the thrombotic okklusion of the inferior vena cava, venae iliacae and femorales communes due to congenital interruption of the prerenal inferior vena cava. The embryology of the abnormality was discussed. (orig.)

  17. Agenesia de veia cava inferior associada à trombose venosa profunda Agenesis of inferior vena cava associated with deep venous thrombosis

    Clovis Luis Konopka

    2010-09-01

    Full Text Available A agenesia da veia cava inferior é uma anomalia congênita rara, que foi recentemente identificada como um importante fator de risco para o desenvolvimento e a recorrência de trombose venosa profunda de membros inferiores em jovens. O objetivo deste trabalho foi relatar o caso de uma paciente que apresentou trombose venosa profunda dois meses após a realização de cirurgia de varizes. A angiotomografia computadorizada demonstrou a presença de anomalia venosa complexa com ausência da veia cava inferior.The agenesis of the inferior vena cava is a rare congenital anomaly, which was recently identified as an important risk factor for the development and recurrence of deep venous thrombosis especially in young people. The goal of this work was to report the case of a patient who presented deep venous thrombosis approximately two months after varicose vein surgery. The computerized angiotomography demonstrated the presence of a complex venous anomaly with absence of the inferior vena cava.

  18. Internal structure of mandible around mandibular molar using computed tomography. Anatomical consideration of molar anchorage in orthodontic treatment

    For establishment of fine occlusion, facial profile and oral function in orthodontic treatment, molar anchorage in teeth movement is important manner in extracted cases. The aims of this study were to investigate the relationship between facial morphology and internal structure of mandibular body in molar region by computer tomography, and to discuss about molar anchorage in orthodontic treatment. The data for this study were obtained from 35 modern male Japanese skulls (mean age; 27 year-old, ranged from 18 year-old to 47 year-old). Measurement variables were FMA, SN to mandibular plane angle, gonial angle, alveolar breadth, cortical bone thickness of buccal and lingual sides, and the distance between dental root and cortical bone. As a result, alveolar breadth and the distance between dental root and cortical bone were narrow in long facial type, on the contrary, these variables were wide in short facial type. The result suggested that these variables were considered important factors as molar anchorage in extracted cases. (author)

  19. Simulation of inferior mirages observed at the Halligen Sea

    Tränkle, Eberhard

    1999-08-01

    Two unusual forms of inferior mirage are observed and photographed at the Halligen Sea. With heuristic analytic functions for the temperature profiles, numerical integration of the refraction differ-ential equation on a flat earth is performed. The simulation shows that a double inferior mirage can appear if a light wind carries hot air from above dry sandbanks in the mud flats. Horizontal stripes can appear in the mirage image if a water channel crosses the line of sight between the observer and the object.

  20. Pseudo-dissection of ascending aorta in inferior myocardial infarction.

    Grahame K. Goode

    2011-06-01

    Full Text Available Acute aortic dissection is a cardiac emergency which can present as inferior myocardial infarction. It has high morbidity and mortality requiring prompt diagnosis and treatment. Rapid advances in noninvasive imaging modalities have facilitated the early diagnosis of this condition and in ruling out this potentially catastrophic illness. We report an interesting case of a 57 year- old -man who presented with inferior myocardial infarction requiring thrombolysis and temporary pacing wire for complete heart block. An echocardiogram was highly suspicious of aortic dissection. CT scan confirmed that the malposition of the temporary pacing wire through the aorta mimicked aortic dissection.

  1. Estudo morfológico da polpa de molares de ratos Wistar frente a uma oclusão traumática experimental Morphological study of the pulp of Wistar rats molars under experimental occlusal interference

    Luiz Alberto Plácido PENNA

    2000-06-01

    Full Text Available As alterações morfológicas pulpares, decorrentes de um estímulo externo experimental (interferência oclusal, foram estudadas, em nível de microscopia de luz. Utilizaram-se restaurações de amálgama, em sobreoclusão nos primeiros molares superiores direitos de dez ratos Wistar, divididos em 3 grupos e sacrificados por perfusão transcardíaca com formol a 10%, aos 10, 20 e 30 dias. A avaliação foi feita nos molares inferiores direitos (lado experimental e esquerdos (lado controle. As peças ósseas após descalcificação em solução de EDTA associada às microondas, seguiram técnica histológica de rotina e coloração por hematoxilina-eosina e tricrômico de Mallory. Verificou-se no lado controle uma reação intensa caracterizada por um posicionamento atípico dos odontoblastos, seguida pelo aparecimento de cálculos pulpares e posteriormente por uma aparente e uniforme acomodação tecidual em toda a polpa, com moderada incidência de fibras colágenas. No lado experimental, as alterações foram similares parecendo, porém, aumentar com o tempo, principalmente aos 30 dias, onde a imagem histológica era semelhante à do lado controle aos 10 dias. Os resultados obtidos permitiram concluir que a interferência oclusal provocou alterações no tecido conjuntivo pulpar tanto no lado experimental como no controle e que as mesmas foram proporcionais à direção dos movimentos mandibulares.Pulpal morphological alterations in mandibular molars of rats, resulting from an experimental external stimulus (occlusal interference, were studied using light microscopy. We placed amalgam restorations in supraocclusion in the right superior first molars of 10 Wistar rats divided into three groups, which were sacrificed by transcardiac perfusion with 10% formalin, after 10, 20 and 30 days. The evaluation of the right (experimental side and left (control side inferior molars was made after decalcification of the bony specimens with EDTA solution associated with microwaves, followed by routine histologic technique and staining with HE and Mallory’s Trichrome. On the control side, an intense reaction characterized by an atypical positioning of the odontoblasts was observed, followed by the appearance of pulp stones and, subsequently, by an apparent and uniform accommodation of the tissue in the whole pulp, with moderate incidence of collagenous fibers. On the experimental side, the alterations were similar, but they apparently increased with time, specially after 30 days, when the histologic image was similar to that of the control side after 10 days. We can conclude that the occlusal interference induces alterations in the pulpal connective tissue both on the experimental side and on the control side, and they are proportional to the direction of the mandibular movements.

  2. Space loss following premature loss of primary second molars.

    Alnahwi, Hassan H; Donly, Kevin J; Contreras, Claudia I

    2015-01-01

    This study was designed to evaluate the amount of space loss (SL) caused by premature loss of primary second molars, determine whether the eruption status of permanent first molars is an important factor in the amount of SL, and evaluate the effectiveness of space maintainers (SMs) in SL prevention. SL associated with 100 prematurely extracted primary second molars was evaluated in 87 healthy patients. Teeth were divided into groups based on the use of SMs (36 with SM and 64 without SM). Bitewing and periapical radiographs taken before extraction and 6, 12, 24, 36, and 48 months after extraction were used to determine the amount of SL. Not every patient attended every recall appointment, so the sample size varied at different evaluation times. The most significant amount of SL occurred in the first 12 months after extraction. In patients who did not use an SM, at 6 months there was a mean SL of 2.12 mm (SD, 1.65 mm) and at 12 months there was a mean of 4.02 mm (SD, 1.65), with significantly more SL in the first 6 months (P 0.05). When patients without an SM were grouped by the eruption status of the permanent first molar, there was significantly more SL in the groups with unerupted first molars than there was in the groups with erupted first molars at both 6 months (P < 0.001) and 12 months (P < 0.05). At both 6 and 12 months, the amount of SL in patients who had an SM (n = 13 and n = 14, respectively) was not significantly different from the amount of SL in those who did not have an SM (n = 33 and n = 23, respectively). SMs should be placed as soon as possible following tooth extraction to prevent undue SL. Placement of an SM a year or more after extraction has minimal benefit, since most SL takes place within the first year. SL does occur even when SMs are used. PMID:26545280

  3. Transhepatic approach for extracardiac inferior cavopulmonary connection stent fenestration.

    Kenny, Damien

    2012-02-01

    We report on a 3-year-old male who underwent transcatheter stent fenestration of the inferior portion of an extracardiac total cavopulmonary connection in the setting of hypoplastic left heart syndrome. Transhepatic approach, following an unsuccessful attempt from the femoral vein facilitated delivery of a diabolo-shaped stent.

  4. Pelvic Fascias and Inferior Hypogastric Plexus. Surgical and Anatomical Considerations.

    Nahuel Paesano

    2010-12-01

    Full Text Available Iatrogenic lesions of the hypogastric Plexus are frequent, due to the fact that autonomic nerves are located on the lowest portion of the sacral vertebrae, and they are very difficult to locate and dissect during surgery. Three fresh cadavers were studied, 5 formolized. A fascia that is extended from one ureter to the other was found, which surrounds the genital vessels and the Superior Hypogastric Plexus. When it passes the sacral promontory it constitutes a frontal partition between the fascia recti and the sacrum, leaving the ureters laterally and the sympathetic plexus medially. It continues as to sagital partitions which leave outside the Inferior Hypogastric Plexus. The hypograstric plexus is conformed by the Hypogastric nerves, the Sacral Splanchnic nerves and the Pelvic Splanchnic nerves. It constitutes two parasagital partitions, which are divided into two groups of fibers: some posterior, which are distributed through the superior rectum, and some anterior, to the bladder, inferior rectum, prostate (or cervix, and erectile tissue. The previously mentioned approach the prostate from behind through its lateral inferior side, on 8:20 time, and enter the penis cell through the medium perineal aponeurosis, behind the membranous urethra. In spite of the difficulties of the identification of the Inferior Hypogastric Plexus during the surgical act, we believe that if dissection is made by maintaining integrity of these fascias, noble structures are respected even if they cant be seen.

  5. Hepatic and postrenal segment anomalies of inferior vena cava

    Choe, Yeon Hyeon; Park, Jae Hyung; Yeon, Kyung Mo; Han, Man Chung [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1986-06-15

    Postrenal segment anomalies of inferior vena cava such as bilateral inferior vena cava and left-sided inferior vena cava can simulate lymphadenopathy on CT scan and these anomalous veins need consideration in retroperitoneal operations such as procedures for prevention of venous embolism, splenorenal shunt operation and aortic prosthetic replacement. Retrocaval ureter is a rare cause of obstructive uropathy or medical deviation of ureter. We analyzed 16 cases of postrenal segment anomalies diagnosed by CT, vena cavography, retrograde pyelography and ultrasonography including six rare positional anomalies at hepatic segment of inferior vena cava diagnosed by cardiac angiography. The results were as follows. 1. Postrenal segment anomalies were 6 cases of bilateral IVC, 8 cases of left-sided IVC and 2 cases of retrocaval ureters. On CT scan, 3 cases of bilateral IVC and 4 cases of left-sided IVC were accompanied by malignant tumors, but caval veins could be discriminated from enlarged nodes because of continuous tubular nature of vein on consecutive sections with homogeneous strong enhancement. Two cases of retrocaval ureters showed hydroureteronephrosis due to ureteral compression by IVC. 2. Hepatic segment anomalies were 6 cases. Five cases of IVC on left side of vertebra crossed midline at live to enter right-sided right atrium and one case of IVC on right side crossed midline to enter left-sided right atrium. Four cases of complex cardiac anomalies, 4 cases of annapolis and 2 cases of situs ambiguous were associated with these anomalies.

  6. Unilateral Breast Reconstruction Using Bilateral Inferior Gluteal Artery Perforator Flaps

    Toshihiko Satake, MD

    2015-03-01

    Conclusions: Use of bilateral IGAP flaps for breast reconstruction helps to avoid asymmetry of the inferior buttock volume and shape. Bilateral flaps provide sufficient tissue volume and allow for reconstruction of a breast comparable to the unaffected side. In patients with moderate-to-high projection breast whose abdominal tissue cannot be used for reconstruction, IGAP flaps may be a suitable alternative.

  7. A Comprisionol two Anesthetic Technique (mandibular block versus in filtration in Restorative Treatment of Class I Second Mandibular Molars in 5-8 Years Children

    M - Jafaerzadeh

    2006-01-01

    Full Text Available Introduction: Inferior mandibular bolck anesthesia, some time causes postoperative lip and tongue biting trauma, however, an infiltration injection with a limited anesthetized area, has less complications. The aim of present study is to compare of two techniques (block and infiltration for class I restorative treatment in primary second molars.Methods and Materials: Fourty children between 5-8 years old having bilateral calss I caries lesions on mandibular primary second molars were selected. Bite wing radiography was used to exclude proximal caries before operation. Operation was made by first using infiltration technique on one side and using block technique on the other side 72 hours later. Standard block injection technique was performed. Infiltration technique consisted of injecting half of a carpule in the bottom of vestibule between roots of the tooth and injection of 2 drops of anesthetic in mesial and distal papillae after 5 minutes. Pain was assessed using SEM (Sound, Eyes, Motor scale by an observer who did not know which technique was used. SEM scale is a reliable and easy to administer for assessment of pain.Results: Pain during operation for both techniques, scored by SEM, was compared and there was no significant difference between block and infiltration techniques.Conclusion: Results show, according to less density of bone in buccal plate and less need to a profound anesthesia for minor restorative treatment, infiltration rechnique can be used instead of block injection in mandibular primary molars in 5-8 years children.

  8. Thermal correction to the molar polarizability of a Boltzmann gas

    Jentschura, U. D.; Puchalski, M.; Mohr, P. J.

    2011-12-01

    Metrology in atomic physics has been crucial for a number of advanced determinations of fundamental constants. In addition to very precise frequency measurements, the molar polarizability of an atomic gas has recently also been measured very accurately. Part of the motivation for the measurements is due to ongoing efforts to redefine the International System of Units (SI), for which an accurate value of the Boltzmann constant is needed. Here we calculate the dominant shift of the molar polarizability in an atomic gas due to thermal effects. It is given by the relativistic correction to the dipole interaction, which emerges when the probing electric field is Lorentz transformed into the rest frame of the atoms that undergo thermal motion. While this effect is small when compared to currently available experimental accuracy, the relativistic correction to the dipole interaction is much larger than the thermal shift of the polarizability induced by blackbody radiation.

  9. Thermal Correction to the Molar Polarizability of a Boltzmann Gas

    Jentschura, U D; Mohr, P J

    2013-01-01

    Metrology in atomic physics has been crucial for a number of advanced determinations of fundamental constants. In addition to very precise frequency measurements, the molar polarizability of an atomic gas has recently also been measured very accurately. Part of the motivation for the measurements is due to ongoing efforts to redefine the International System of Units (SI) for which an accurate value of the Boltzmann constant is needed. Here, we calculate the dominant shift of the molar polarizability in an atomic gas due to thermal effects. It is given by the relativistic correction to the dipole interaction, which emerges when the probing electric field is Lorenz transformed into the rest frame of the atoms that undergo thermal motion. While this effect is small when compared to currently available experimental accuracy, the relativistic correction to the dipole interaction is much larger than the thermal shift of the polarizability induced by blackbody radiation.

  10. Density and molar volume studies of phosphate glasses

    Chanshetti U.B.

    2011-01-01

    Full Text Available The density and molar volume of some phosphate glasses (xNa2O(100-xP2O5, x = 30, 35, 40, 45, 50; xB2O3(1-xNaPO3, x = 5, 10, 15, 20, 25; xNa2O(30-x K2O10Al2O3 25B2O335P2O5, x= 5, 10, 15, 20, 25 glasses were determined, in order to study their structure. The density of the glasses increased while their molar volume values decreases with the increase of sodium oxide content in phosphate glasses. The results obtained could be correlated to several factors such as the polarization, the field strengths and the ionic radii of the different incorporated cations.

  11. From molecular to molar: a paradigm shift in behavior analysis.

    Baum, William M

    2002-01-01

    A paradigm clash is occurring within behavior analysis. In the older paradigm, the molecular view, behavior consists of momentary or discrete responses that constitute instances of classes. Variation in response rate reflects variation in the strength or probability of the response class. The newer paradigm, the molar view, sees behavior as composed of activities that take up varying amounts of time. Whereas the molecular view takes response rate and choice to be "derived" measures and hence ...

  12. Endodontic and post-endodontic management of a fused molar

    Ruchi Gupta; Vijay Prakash; Mohit Sharma

    2013-01-01

    Treatment of fused teeth needs special care and attention to the bizarre anatomy. This paper describes root canal treatment of a fused carious tooth presenting with apical periodontitis. It is a rare case of fusion of the mandibular second molar with a paramolar. There is no literature regarding placement of crown over endodontically treated fused teeth. In this case, the fused teeth were endodontically treated and restored by a porcelain fused to metal crown.

  13. Endodontic Management of a Maxillary Molar with Three Mesiobuccal Canals

    Sirisha Gundam; Radhika Maddu; Sindhura Reddy Gurram

    2014-01-01

    It is imperative that the clinician should have comprehensive knowledge about the normal anatomy and its variations of the teeth as the deviations from the usual are very common. An increased awareness of unusual anatomy and a better understanding of the root canal system guide the clinician in accurate diagnosis and treatment of such variations in order to achieve a successful endodontic outcome. The maxillary first molar has been shown to have a wide variation in respect to the number of ca...

  14. Bilateral Taurodontism in Deciduous Molars: A case Report

    Parimala Tyagi,

    2010-01-01

    Full Text Available Taurodontism is a rare dental anomaly in which the involved tooth has an enlarged and elongated body and pulpchamber with apical displacement of the pulpal floor. It has a very low incidence and very few cases are reported inliterature in deciduous dentition. Endodontic treatment of a taurodont tooth is challenging and requires special handlingbecause of the proximity and apical displacement of the roots. In this article a case of five year child with bilateralinvolvement of mandibular second molars is presented.

  15. The partial molar volume of water in biological membranes.

    Scherer, J R

    1987-01-01

    A new algorithm is presented for interpreting the hydration dependence of x-ray diffraction measurements. The method assumes that the volume of the hydrocarbon phase of the lipid bilayer is not affected by hydration and that the volume expansion between bilayers at maximum hydration is caused by incorporation of water molecules whose partial molar volume is that of pure bulk water. These simple assumptions lead to a determination of the area expansion (and hence change in hydrocarbon-phase th...

  16. Apoptosis in molar tooth development - with and without caspase-3

    Šetková, Jana; Matalová, Eva; Sharpe, P. T.; Míšek, Ivan; Tucker, A. S.

    Fyziologický ústav AV ČR, v. v. i.. Roč. 55, č. 4 (2006), 43P-44P ISSN 0862-8408. [Czech and Slovak Physiological Societies. 07.02.2006-09.02.2006, Praha] R&D Projects: GA AV ČR KJB500450503; GA MŠk OC B23.001 Institutional research plan: CEZ:AV0Z50450515 Keywords : apoptosis * molar tooth development Subject RIV: FF - HEENT, Dentistry

  17. Endodontic and post-endodontic management of a fused molar

    Ruchi Gupta

    2013-01-01

    Full Text Available Treatment of fused teeth needs special care and attention to the bizarre anatomy. This paper describes root canal treatment of a fused carious tooth presenting with apical periodontitis. It is a rare case of fusion of the mandibular second molar with a paramolar. There is no literature regarding placement of crown over endodontically treated fused teeth. In this case, the fused teeth were endodontically treated and restored by a porcelain fused to metal crown.

  18. Developmental regulations of Perp in mice molar morphogenesis.

    Neupane, Sanjiv; Sohn, Wern-Joo; Rijal, Girdhari; Lee, Ye-Ji; Lee, Sanggyu; Yamamoto, Hitoshi; An, Chang-Hyeon; Cho, Sung-Won; Lee, Youngkyun; Shin, Hong-In; Kwon, Tae-Yub; Kim, Jae-Young

    2014-10-01

    Teraspanin transmembrane protein, Perp (P53 apoptosis effector related to PMP22), which is found in the plasma membrane as a component of the desmosome, is reported to be involved in the morphogenesis of the epithelium and the enamel formation of the incisor. However, its expression pattern and signaling regulation during molar development have not been elucidated in detail. We have examined the precise expression patterns of Perp in developing lower molars and employed the knock-down of Perp by antisense oligodeoxynucleotide treatment during in vitro organ cultivation at embryonic day 13 to define the precise developmental function of Perp. Perp was expressed mainly in the dental lamina and stellate reticulum regions at the bud and cap stages. After Perp knock-down, the tooth germ showed disruption of the dental lamina and stellate reticulum with altered apoptosis and proliferation. The changed expression levels of related signaling molecules from the enamel knot and desmosome were evaluated by real-time quantitative polymerase chain reaction. A renal capsule transplantation method was employed to examine the effects of Perp knock-down on molar crown development. Ultrastructural observations revealed that enamel was deposited more densely in an irregular pattern in the cusp region, and that dentin was hypo-mineralized after Perp knock-down at the cap stage. Thus, Perp might play important roles in the formation and integration of stellate reticulum, dental lamina structure and enamel formation through signaling interactions with the enamel knot and desmosome-related signaling molecules at the cap stage of lower molar development. PMID:24865245

  19. Effective molarity in a nucleic acid-controlled reaction.

    Catalano, Michael J; Price, Nathan E; Gates, Kent S

    2016-06-01

    Positioning of reactive functional groups within a DNA duplex can enable chemical reactions that otherwise would not occur to an appreciable extent. However, few studies have quantitatively defined the extent to which the enforced proximity of reaction partners in duplex DNA can favor chemical processes. Here, we measured substantial effective molarities (as high as 25M) afforded by duplex DNA to a reaction involving interstrand cross-link formation between 2'-deoxyadenosine and a 2-deoxyribose abasic (Ap) site. PMID:27117430

  20. Interfacial Properties of Methylcelluloses: The Influence of Molar Mass

    Pauline L. Nasatto; Frédéric Pignon; Joana L. M. Silveira; Maria Eugênia R. Duarte; Miguel D. Noseda; Marguerite Rinaudo

    2014-01-01

    The interfacial interactions of four methylcelluloses having the same average degree of substitution and distribution of methyl groups, but different molar masses, are studied at ambient temperature and at very low polymer concentrations. Firstly, the surface tension σ at the water/air interface is determined for the progressive addition of methylcellulose up to 100 mg/L; σ starts to decrease over 1 mg/L up to the critical aggregation concentration (CAC) at 10 mg/L. The curves describing the...

  1. 3-D diagnosis-assisted management of anomalous mandibular molar

    Neelam Mittal

    2012-01-01

    Full Text Available This case report describes the successful non-surgical endodontic management of carious exposed three-rooted mandibular molar with four root canals detected on the pre-operative radiograph taken with 20 degrees mesial angulation and confirmed with a 64-slice helical computed tomography scan-assisted 3-D-reconstructed images. Access cavity shape was modified to locate the extra canal with respect to the distolingual root in the left mandibular first molar. Copious irrigation was accomplished with 5.25% sodium hypochlorite and 17% EDTA. Biomechanical preparation was done using protapers. Calcium hydroxide dressing was done for 1 week. The tooth was obturated using gutta percha and AH 26 root canal sealer, and it was permanently restored with composite. Clinical examination on follow-up visits revealed no sensitivity to percussion and palpation in the left mandibular first molar. Thorough knowledge of root canal variations and use of advanced diagnostic modalities lead to successful non-surgical management of the complex cases.

  2. Decontamination of tried-in orthodontic molar bands.

    Fulford, M R; Ireland, A J; Main, B G

    2003-12-01

    Molar bands are commonly used to retain orthodontic attachments on posterior teeth and due to the variation in the size of such teeth, it is usually necessary to 'try in' several bands before the correct one is selected. A possible concern with re-using such bands is the lack of cross-infection control, even following autoclaving, due to the presence of one or more small bore lumen (the archwire and headgear tubes). The aim of this experiment was, therefore, to determine whether such bands could be successfully decontaminated so that they could be re-used without a cross-infection risk. Two hundred orthodontic molar bands that had previously been tried in patients' mouths, but not cemented into place, were tested. Each band was decontaminated using an enzymatic cleaner/disinfectant and then sterilized using either a downward displacement (n = 100) or a vacuum cycle autoclave (n = 100). Following autoclaving each band was inoculated into brain heart infusion culture broth and incubated at 37 degrees C for 5 days. None of the decontaminated bands exhibited growth after 5 days. It would appear that, using this methodology, there is little risk of a cross-infection hazard occurring with the re-use of previously tried-in and decontaminated molar bands. PMID:14700269

  3. Evaluation of periodontal condition in intruded molars using miniscrews

    Habib Ollah Ghanbari

    2015-12-01

    Full Text Available Introduction: The purpose of this preliminary study was to evaluate the periodontal condition of intruded molars in various phases of treatments. Methods: 30 patients with at least one overerupted upper first molar were selected. Upper molar bands with brackets were cemented. Two miniscrews were placed in the mesiopalatal and mesiobuccal aspect of the aforementioned teeth. A titanium molybdenum alloy (TMA spring was attached to the head of miniscrew in one end and ligated to the bracket in the other end to reach the predetermined force. Plaque index (PI, probing pocket depth (PPD, keratinized gingiva (KG, The distance between miniscrew (M.S and gingival level (GL, and bleeding on probing (BOP were recorded before loading and 1, 2, 3, 4 and 5 months post-loading .Results:  All patients completed the study and no complications were reported. Statistically significant intrusion (2.1 ± 0.9 mm was obtained during active treatment. Inserting miniscrews generally was presented with greater sulcus bleeding, plaque accumulation and plaque formation at follow-up visits. There was a statistically significant increase in PI, PPD and BOP indices. Furthermore, the results showed decrease in KG level and M.S to GL level. Conclusion: Miniscrews can provide a clinical benefit as an absolute anchorage device. However, keeping a good oral hygiene is essential to achieve ideal results, because the presence of miniscrews, as a foreign object in mouth, and intrusion force might be harmful for periodontal tissues

  4. A Neanderthal lower molar from Stajnia Cave, Poland.

    D?browski, P; Nowaczewska, W; Stringer, C B; Compton, T; Kruszy?ski, R; Nadachowski, A; Stefaniak, K; Urbanowski, M

    2013-04-01

    The primary aim of this study was to conduct a taxonomic assessment of the second of three isolated human teeth found in the Stajnia Cave (north of the Carpathians, Poland) in 2008. The specimen was located near a human tooth (S5000), which was identified by Urbanowski et al. (2010) as a Neanderthal permanent upper molar. Both of these teeth were excavated from the D2 layer, which belongs to the D stratigraphic complex comprising the archaeological assemblage associated with the Micoquian tradition. An Ursus spelaeus bone and Mammuthus primigenius tooth that were also excavated from the D2 layer were dated to >49,000 years BP (by AMS (14)C) and 52.9 ka BP (by U-Th), respectively. The sediment overlying stratigraphic complex D was dated to 45.9 ka BP by the OSL method. The S4300 tooth is a lower first or second permanent molar belonging to an individual other than that who once possessed the S5000 tooth. The S4300 tooth exhibits a combination of traits typical of Neanderthal lower molars, including a mid-trigonid crest, large anterior fovea, taurodontism and subvertical grooves on the interproximal face, indicating that this tooth belonged to a Neanderthal individual. The S4300 tooth from Stajnia Cave is one of the oldest human remains found in Poland. PMID:23415376

  5. Variable permanent mandibular first molar: Review of literature

    Srinidhi V Ballullaya

    2013-01-01

    Full Text Available Introduction: The success of root canal therapy depends on the locations of all the canals, thourough debridement and proper sealing. At times the clinicians are challenged with variations in morphology of root canal. This review article attempts to list out all the variations of permanent mandibular first molar published so for in the literature. Materials and Methods: An exhaustive search was undertaken using PUBMED database to identify published literature from 1900 to 2010 relating to the root canal morphology of permanent first molar by using key words. The selected artcles were obtained and reviewed. Results: Total ninty seven articles were selected out of which 50 were original article and forty seven were case reports. The incidence of third canal in mesial root was 0.95% to 15%. The incidence of three rooted mandibular first molar was 3% to 33%. Only ninety cases reported with c-shape canal configuration. Incidence of Taurodintism without congenital disorder was very rare. Conclusion: The root canal treatment requires proper knowlegde of variations in root canal morphology in order to recognise, disinfect and seal all portal of exit. This can be accomplished with proper diagnosis using newer modes, modification in access preparation, use of operating microscope, enhanced methods of disinfecting and sealing of all canals.

  6. Molar tooth carbonates and benthic methane fluxes in Proterozoic oceans.

    Shen, Bing; Dong, Lin; Xiao, Shuhai; Lang, Xianguo; Huang, Kangjun; Peng, Yongbo; Zhou, Chuanming; Ke, Shan; Liu, Pengju

    2016-01-01

    Molar tooth structures are ptygmatically folded and microspar-filled structures common in early- and mid-Proterozoic (∼2,500-750 million years ago, Ma) subtidal successions, but extremely rare in rocks <750 Ma. Here, on the basis of Mg and S isotopes, we show that molar tooth structures may have formed within sediments where microbial sulphate reduction and methanogenesis converged. The convergence was driven by the abundant production of methyl sulphides (dimethyl sulphide and methanethiol) in euxinic or H2S-rich seawaters that were widespread in Proterozoic continental margins. In this convergence zone, methyl sulphides served as a non-competitive substrate supporting methane generation and methanethiol inhibited anaerobic oxidation of methane, resulting in the buildup of CH4, formation of degassing cracks in sediments and an increase in the benthic methane flux from sediments. Precipitation of crack-filling microspar was driven by methanogenesis-related alkalinity accumulation. Deep ocean ventilation and oxygenation around 750 Ma brought molar tooth structures to an end. PMID:26739600

  7. Molar pregnancy with multiple organ dysfunction, an interesting

    Purnima deb

    2011-01-01

    Full Text Available Successful management and cure of gestational trophoblastic disease [GTD, molar ] depends upon prompt, accurate diagnosis and institution of individualized, therapeutic modalities. Because Molar pregnancies encompasses multitude of clinical entities, each with myriad presentations, clinicians must remain alert to identify patients exhibiting signs and symptoms consistent with GTD [molar]. Armed with a high index of suspicion, physicians may target such individuals and launch the appropriate diagnostic barrage, leading to triage for treatment early in the course of the disease. The disease if not diagnosed early may lead to complication such as, acute respiratory distress, cardiac failure, liver and renal failure. Intracranial bleeding and seizures complicated with infection and coagulation failure may lead to death of these young women. Little data are available to assist in the counselling of women with diagnosis and compulsory follow up. Appropriate contraception should be discussed and advise given before discharge as they may get lost to follow up. These women should be informed of the elevated risk of developing malignant sequlae in future.

  8. Interfacial Properties of Methylcelluloses: The Influence of Molar Mass

    Pauline L. Nasatto

    2014-12-01

    Full Text Available The interfacial interactions of four methylcelluloses having the same average degree of substitution and distribution of methyl groups, but different molar masses, are studied at ambient temperature and at very low polymer concentrations. Firstly, the surface tension σ at the water/air interface is determined for the progressive addition of methylcellulose up to 100 mg/L; σ starts to decrease over 1 mg/L up to the critical aggregation concentration (CAC at 10 mg/L. The curves describing the influence of polymer concentration on σ are independent of the molar mass at equilibrium. Secondly, the adsorption of methylcellulose on silica particles is estimated from ζ-potential measurements. The data are interpreted in terms of an increase of the adsorbed layer thickness at the interface when the molar mass of methylcellulose increases. It is concluded that methylcellulose is adsorbed, forming trains and loops at the interface based on the equilibrium between surface free energy and solvent quality.

  9. High School Students' Ability to Solve Molarity Problems and Their Analog Counterparts.

    Gabel, Dorothy L.; Samuel, K. V.

    1986-01-01

    Investigated use of analog tasks for determining difficulties that high school chemistry students (N=619) might encounter in solving molarity problems. One finding is that analog task used is a predictor of success on a molarity test. (Author/JN)

  10. Relationship of third molar movement during orthodontic treatment and root angulation

    Morteza Oshagh

    2012-01-01

    Conclusion: The relation between the amount of third molar movement and its root angulation was not statistically significant. Therefore movement of third molars during orthodontic treatment should not be assumed as an etiologic factor of root angulations.

  11. Molar Uprighting Using Mini-Screws after Distalization by the Pendulum Appliance: A Case Report

    Amir Moradi

    2013-12-01

    Full Text Available A 16-year-old Class II female patient was treated without tooth extraction. The upper first molars were distalized by the Pendulum appliance. After six months, the molars tipped significantly to the distal. To correct this side effect, we decided to upright the molars using skeletal anchorage. On each side, a mini-screw was inserted between first and second premolars in the buccal cortical plate. An auxiliary spring was placed between the mini-screw head and the molar buccal tube. The resultant moment made the first molar upright. In addition, the side effects of this mechanic, i.e. molar intrusion and molar buccal tipping, counteract the extrusion and medial movement caused by the Pendulum Appliance. The aim of this case report was to present an innovative method for molar uprighting using skeletal anchorage.

  12. Thermodynamic properties of binary mixtures containing tetrahydropyran: Excess molar volumes, excess molar enthalpies and isentropic compressibilities changes of mixing

    Excess molar volumes, VE, excess molar enthalpies, HE and speeds of sound, u data of tetrahydropyran (i) + cyclohexane or n-hexane or n-heptane (j) binary mixtures have been measured using dilatometer, calorimeter and interferometer over whole mole fraction range at 308.15 K. Speeds of sound data have been utilized to predict isentropic compressibilities changes of mixing, κSE. The analysis of VE in terms of Graph theory reveals that (i + j) mixtures are characterized by dipole-induced dipole interactions between THP and cyclo or n-alkanes to form 1:1 molecular complex. HE and κSE data of the investigated mixtures have also been analyzed in terms of Graph theory. VE, HE and κSE data predicted by Graph theory compare well with their corresponding experimental values.

  13. Hypercementosis and concrescence of maxillary second molar with third molar: a case report and review of literature.

    Mohan, Bhavya

    2014-06-01

    Concrescence signifies a rare developmental alteration, most commonly in maxillary molars,where two fully formed teeth with separate root canal structures are fused with cementum. Clinical detection is difficult due to lack of enamel involvement and radiographic detection may be challenging, as two dimensional images may be misdiagnosed as overlap, superimposition or close proximity of roots. Such a developmental anomaly can influence treatment outcomes for extraction, endodontic, periodontic, prosthodontic and orthodontic treatment. Legal complications could arise due to unexpected difficulties following treatment. Awareness of occurrence, incidence and post treatment implications of such anomalies is paramount for both the patient and clinician's benefit. This article discusses a case report of concrescence between two maxillary molar teeth and its management. PMID:24984682

  14. Endodontic Treatment of a Maxillary Second Molar with Developmental Anomaly: A Case Report

    Asgary, Saeed

    2007-01-01

    Fusion is a rare occurrence in molar teeth. The purpose of this rare case presentation is to describe the nonsurgical endodontic treatment of maxillary molar. A 28-year-old patient was referred for endodontic treatment of her chronic apical abscess of right maxillary second molar. In the clinical examination, a sinus tract adjacent to involved tooth and a small crown of supernumerary tooth fused to the buccal surface of the molar at gingival margin was observed. Endodontic treatment was decid...

  15. In vitro evaluation of an alternative method to bond molar tubes

    Célia Regina Maio Pinzan-Vercelino; Arnaldo Pinzan; Júlio de Araújo Gurgel; Fausto Silva Bramante; Luciana Maio Pinzan

    2011-01-01

    Despite the advances in bonding materials, many clinicians today still prefer to place bands on molar teeth. Molar bonding procedures need improvement to be widely accepted clinically. OBJECTIVE: The purpose of this study was to evaluate the shear bond strength when an additional adhesive layer was applied on the occlusal tooth/tube interface to provide reinforcement to molar tubes. MATERIAL AND METHODS: Sixty third molars were selected and allocated to the 3 groups: group 1 received a conven...

  16. Residual periodontal defects distal to the mandibular second molar 6-36 months after impacted third molar extraction: A retrospective cross-sectional study of young adults

    Lo, ECM; Corbet, EF; Leung, WK; Kwok, WK; Liu, JKS

    2002-01-01

    Aim: This retrospective study investigated the periodontal conditions distal to mandibular second molars 6-36 months after routine surgical extraction of adjacent impacted third molars. Method: Subjects were randomly selected by systematic sampling from computer records of 3211 surgical mandibular third molar extractions in the Hong Kong dental teaching hospital. Records and pre-extraction radiographs of the selected cases were retrieved. Selected subjects (n = 283) were invited for an interv...

  17. Molar Mass and Second Virial Coefficient of Polyethylene Glycol by Vapor Pressure Osmometry

    Schwinefus, Jeffrey J.; Checkal, Caleb; Saksa, Brian; Baka, Nadia; Modi, Kalpit; Rivera, Carlos

    2015-01-01

    In this laboratory experiment, students determine the number-average molar masses and second virial coefficients of polyethylene glycol (PEG) polymers ranging in molar mass from 200 to 1500 g mol[superscript -1] using vapor pressure osmometry (VPO). Students assess VPO in relation to accurate molar mass calculations of PEG polymers. Additionally,

  18. Relationship between mandibular condyle and angle fractures and the presence of mandibular third molars

    Mah, Deuk-Hyun; Moon, Seong-Yong; Oh, Ji-Su; You, Jae-Seek

    2015-01-01

    Objectives We retrospectively evaluated the impact of mandibular third molars on the occurrence of angle and condyle fractures. Materials and Methods This was a retrospective investigation using patient records and radiographs. The sample set consisted of 440 patients with mandibular fractures. Eruption space, depth and angulation of the third molar were measured. Results Of the 144 angle fracture patients, 130 patients had third molars and 14 patients did not. The ratio of angle fractures when a third molar was present (1.26 : 1) was greater than when no third molar was present (0.19 : 1; odds ratio, 6.58; P<0.001). Of the 141 condyle fractures patients, the third molar was present in 84 patients and absent in 57 patients. The ratio of condyle fractures when a third molar was present (0.56 : 1) was lower than when no third molar was present (1.90 : 1; odds ratio, 0.30; P<0.001). Conclusion The increased ratio of angle fractures with third molars and the ratio of condyle fractures without a third molar were statistically significant. The occurrence of angle and condyle fractures was more affected by the continuity of the cortical bone at the angle than by the depth of a third molar. These results demonstrate that a third molar can be a determining factor in angle and condyle fractures. PMID:25741462

  19. PEMANFAATAN BIJI KAKAO INFERIOR CAMPURAN SEBAGAI SUMBER ANTIOKSIDAN DAN ANTIBAKTERI

    Yulianto Tri Chandra Kusuma

    2013-11-01

    Full Text Available [ENGLISH] There are about 30% of cocoa beans still classified as inferior or low quality beans due to diseases. Low-quality cocoa beans can be used as the source of polyphenolic substances. The purpose of this study was to determine the potency of inferior cocoa beans with various particle sizes as raw materials for polyphenol extraction, and the use of polyphenol-rich cocoa extracts as antioxidant and antibacterial substances. The research was conducted in two stages, namely preliminary research and primary research. This preliminary study aimed to obtain polyphenol-rich cocoa bean extract and to examine antioxidant activity using DPPH method. The next research was to conduct antibacterial test against Escherichia coli and Bacillus subtilis using well diffusion method treated using polyphenols of each type of various particle size (16 mesh, 25 mesh, 35 mesh with concentrations of 0 ppm, 25.000 ppm, 50.000 ppm, 75.000 ppm, 100.000 ppm. The plates were incubated at 37°C for 24 hours and the inhibition power against bacteria was observed. The results showed that the greater the concentration of polyphenol extracts and the smaller size of the filter powder cocoa resulted in the increase of bacterial growth inhibition area. Keywords: Polyphenol; Cocoa beans; Escherichia coli; Bacillus subtilis [INDONESIAN] Biji kakao inferior merupakan biji buah kakao bermutu rendah karena terserang penyakit dan belum termanfaatkan secara maksimal. Biji kakao berkualitas rendah dapat dimanfaatkan dengan cara mengekstrak kandungan polifenolnya. Tujuan penelitian ini adalah mengetahui potensi ekstrak polifenol biji kakao inferior dengan variasi ukuran partikel sebagai bahan yang memiliki aktivitas antioksidan dan penghambat pertumbuhan bakteri. Penelitian ini dilakukan dalam dua tahap, yaitu penelitian pendahuluan dan penelitian utama. Penelitian pendahuluan bertujuan untuk memperoleh esktrak polifenol dari biji kakao inferior campuran yang terserang penyakit. Esktrak polifenol hasil penelitian pendahuluan berpotensi sebagai senyawa antioksidan dan antibakteri. Pengujian aktivitas antioksidan dilakukan dengan menggunakan metode DPPH. Sedangkan pengujian antibakteri menggunakan metode difusi sumuran. Daya penghambatannya terhadap bakteri Escherichia coli dan Bacillus subtilis menggunakan esktrak polifenol dari variasi ukuran partikel (16 mesh, 25 mesh, 35 mesh yaitu sebanyak 0 ppm, 25000 ppm, 50000 ppm, 75000 ppm, 100000 ppm dan dilakukan secara triplo. Setelah itu diinkubasi selama 24 jam pada suhu 37°C dan diamati daya penghambatan terhadap bakteri. Hasil penelitian menunjukkan bahwa semakin besar konsentrasi ekstrak polifenol dan semakin kecil ukuran saringan bubuk biji kakao, menghasilkan luasan diameter daerah hambatan pertumbuhan bakteri yang semakin besar. Kata kunci: Polifenol; Kakao; Escherichia coli; Bacillus subtilis How to citate: Kusuma YTC, S Suwasono, S Yuwanti. 2013. Pemanfaatan biji kakao inferior campuran sebagai sumber antioksidan dan antibakteri. Berkala Ilmiah Pertanian 1(2: 33-37.

  20. A new method for the determination of the nitrogen content of nitrocellulose based on the molar ratio of nitrite-to-nitrate ions released after alkaline hydrolysis

    Highlights: • New insights into the nitrocellulose alkaline denitration mechanism. • Linear correlation for molar ratio of nitrite-to-nitrate ions and nitrogen content. • Capillary electrophoresis monitoring of nitrite and nitrate ions. • Applications to explosive and non-explosive nitrocellulose-containing samples. • Improved performances (including safety) over classical methods. - Abstract: A new method was proposed to determine the nitrogen content of nitrocelluloses (NCs). It is based on the finding of a linear relationship between the nitrogen content and the molar ratio of nitrite-to-nitrate ions released after alkaline hydrolysis. Capillary electrophoresis was used to monitor the concentration of nitrite and nitrate ions. The influences of hydrolysis time and molar mass of NC on the molar ratio of nitrite-to-nitrate ions were investigated, and new insights into the understanding of the alkaline denitration mechanism of NCs, underlying this analytical strategy is provided. The method was then tested successfully with various explosive and non-explosive NC-containing samples such as various daily products and smokeless gunpowders. Inherently to its principle exploiting a concentration ratio, this method shows very good repeatability in the determination of nitrogen content in real samples with relative standard deviation (n = 3) inferior to 1.5%, and also provides very significant advantages with respect to sample extraction, analysis time (1 h for alkaline hydrolysis, 3 min for electrophoretic separation), which was about 5 times shorter than for the classical Devarda's method, currently used in industry, and safety conditions (no need for preliminary drying NC samples, mild hydrolysis conditions with 1 M sodium hydroxide for 1 h at 60 °C)

  1. A new method for the determination of the nitrogen content of nitrocellulose based on the molar ratio of nitrite-to-nitrate ions released after alkaline hydrolysis

    Alinat, Elodie, E-mail: elodie.alinat@chimie-paristech.fr [PSL Research University, Chimie ParisTech, Laboratory of Physicochemistry of Electrolytes, Colloids and Analytical Sciences (PECSA), 11 rue Pierre et Marie Curie, 75005 Paris (France); Central Laboratory of Police Prefecture (LCPP), 39 bis rue de Dantzig, 75015 Paris (France); CNRS, UMR 7195 PECSA, 11 rue Pierre et Marie Curie, 75005 Paris (France); Sorbonne Universités, UPMC Univ Paris 06, LBM, 4 place Jussieu, F-75005 Paris (France); Delaunay, Nathalie, E-mail: nathalie.delaunay@espci.fr [PSL Research University, Chimie ParisTech, Laboratory of Physicochemistry of Electrolytes, Colloids and Analytical Sciences (PECSA), 11 rue Pierre et Marie Curie, 75005 Paris (France); CNRS, UMR 7195 PECSA, 11 rue Pierre et Marie Curie, 75005 Paris (France); Sorbonne Universités, UPMC Univ Paris 06, LBM, 4 place Jussieu, F-75005 Paris (France); Archer, Xavier, E-mail: xavier.archer@interieur.gouv.fr [Central Laboratory of Police Prefecture (LCPP), 39 bis rue de Dantzig, 75015 Paris (France); Mallet, Jean-Maurice, E-mail: jean-maurice.mallet@es.fr [École Normale Supérieure-PSL Research University, Département de Chimie, 24 rue Lhomond, 75005 Paris (France); Sorbonne Universités, UPMC Univ Paris 06, LBM, 4 place Jussieu, F-75005 Paris (France); CNRS, UMR 7203 LBM, F-75005 Paris (France); Gareil, Pierre, E-mail: pierre.gareil@chimie-paristech.fr [PSL Research University, Chimie ParisTech, Laboratory of Physicochemistry of Electrolytes, Colloids and Analytical Sciences (PECSA), 11 rue Pierre et Marie Curie, 75005 Paris (France); CNRS, UMR 7195 PECSA, 11 rue Pierre et Marie Curie, 75005 Paris (France); Sorbonne Universités, UPMC Univ Paris 06, LBM, 4 place Jussieu, F-75005 Paris (France)

    2015-04-09

    Highlights: • New insights into the nitrocellulose alkaline denitration mechanism. • Linear correlation for molar ratio of nitrite-to-nitrate ions and nitrogen content. • Capillary electrophoresis monitoring of nitrite and nitrate ions. • Applications to explosive and non-explosive nitrocellulose-containing samples. • Improved performances (including safety) over classical methods. - Abstract: A new method was proposed to determine the nitrogen content of nitrocelluloses (NCs). It is based on the finding of a linear relationship between the nitrogen content and the molar ratio of nitrite-to-nitrate ions released after alkaline hydrolysis. Capillary electrophoresis was used to monitor the concentration of nitrite and nitrate ions. The influences of hydrolysis time and molar mass of NC on the molar ratio of nitrite-to-nitrate ions were investigated, and new insights into the understanding of the alkaline denitration mechanism of NCs, underlying this analytical strategy is provided. The method was then tested successfully with various explosive and non-explosive NC-containing samples such as various daily products and smokeless gunpowders. Inherently to its principle exploiting a concentration ratio, this method shows very good repeatability in the determination of nitrogen content in real samples with relative standard deviation (n = 3) inferior to 1.5%, and also provides very significant advantages with respect to sample extraction, analysis time (1 h for alkaline hydrolysis, 3 min for electrophoretic separation), which was about 5 times shorter than for the classical Devarda's method, currently used in industry, and safety conditions (no need for preliminary drying NC samples, mild hydrolysis conditions with 1 M sodium hydroxide for 1 h at 60 °C)

  2. Right Ventricular Involvement in either Anterior or Inferior Myocardial Infarction

    Firoozeh Abtahi

    2016-06-01

    Full Text Available Background: Unlike left ventricular function, less attention has been paid to Right Ventricular (RV function after Myocardial Infarction (MI. Objectives: The current study aimed to compare RV function in patients with inferior and anterior MI. Patients and Methods: During the study period, 60 patients consecutively presented to the Emergency Department with chest pain were divided into two groups based on their electrocardiographic findings. Accordingly, 25 patients had inferior MI (IMI group and 35 ones had anterior MI (AMI group. Echocardiography was performed 48 hours after starting the standard therapy. Conventional echocardiographic parameters and Tissue Doppler Imaging (TDI measurements were acquired from the standard views. Student t-test and the chi-square test were respectively used for comparisons of the normally distributed continuous and categorical variables in the two groups. Besides, P < 0.05 was considered to be statistically significant.

  3. Cushing's disease; inferior petrosal sinus venography and samplings

    Hypersecretion of ACTH in patients with Cushing's syndrome originates from either a pituitary tumor (Cushing's disease) or an ectopic ACTH-secreting tumor. These 2 entities may be clinically indistinguishable, and additional difficulty arise because pituitary microadenomas may be radiologically occult. Recently, bilateral selective venous sampling from the inferior petrosal sinuses became the procedure of choice for confirming a false negative study of a combined hormonal test and pituitary ACTH hypersecretion. We performed selective venous catheterization and sampling for ACTH. The central location of the lesion was detected in 1 case (intersinus gradient = 1.1 : 1), and the remaining 5 cases revealed lateralization of the lesions (intersinus gradient = 3.7 - 20.1 : 1), which correlated well with transsphenoidal microadenomectomies in all the cases. We concluded that selective venous ACTH sampling from the inferior petroal sinus is a reliable and useful aid in the diagnosis of Cushing's disease when standard clinical and biochemical studies are inconclusive

  4. Suspected spinocellular carcinoma of the inferior eyelid resulted multiple chalazion.

    Onesti, Maria Giuseppina; Troccola, Antonietta; Maruccia, Michele; Conversi, Andrea; Scuderi, Gianluca

    2013-01-01

    Chalazion is a subacute granulomatous inflammation of the eyelid caused by retention of tarsal gland secretions and it's the most common inflammatory lesion of the eyelid. In cases of doubtful clinical presentation the diagnosis with a biopsy and a histopathological examination is important because it can orientate an appropriate surgical treatment. We report a case of a 64-years-old diabetic man, suspected for a spinocellular lesion of the inferior eyelid of the left eye, it resulted unexpectedly a chalazion. PMID:23343591

  5. Inferior Vena Caval Thrombosis After Traumatic Liver Injury

    Takeo Kimoto; Hitoshi Kohno; Masaaki Uchida; Akira Yamanoi; Akitaka Yamamoto; Naofumi Nagasue; Seiichi Ando; Kouya Suemitsu; Mitsuru Ohtani

    1998-01-01

    We report here the case of a 35-year-old man who presented with inferior vena cava thrombosis (IVCT) after blunt hepatic trauma. The IVCT was incidentally detected by computed tomography (CT) 35 days after deep parenchymal suturing and suture approximation for liver lacerations. The patient denied any symptoms of thrombophlebitis. However, he had presented with significantly elevated values of FDP-D-dimer and a modest increase in plasminogen concentration, which indicated that he had been in ...

  6. Inferior Epigastric Artery Pseudoaneurysm in a Kidney Transplant Recipient

    Carcano, G.; Bertocchi, V.; Soldini, G.; M. Franchin; Ietto, G.; Molteni, B.; Tozzi, M.

    2013-01-01

    Pseudoaneurysm of inferior epigastric artery (IEA) is a very rare clinical entity. We reported a case of combined kidney transplant and pseudoaneurysmectomy in a young HBV-HCV-HIV recipient. This case emphasizes the possibility of planning a safe and correct surgical treatment and the best timing to treat IEA pseudoaneurysm. An exhaustive preoperative radiological study in all patients candidate to kidney transplant could identify the possible aortoiliac disease both stenotic or dilatative ev...

  7. Leiomiossarcoma da veia cava inferior: relato de caso

    Rafael Lemos Nascif

    2014-12-01

    Full Text Available Relatamos um caso de paciente do sexo feminino, 48 anos, com quadro clnico de dor abdominal de moderada intensidade e abaulamento do abdome. Ao exame fsico constatou-se massa abdominal palpvel. A tomografia computadorizada mostrou volumosa massa retroperitoneal, com realce heterogneo e ntima relao com a veia cava inferior. Realizou-se resseco em bloco da massa e do segmento invadido da veia cava. A histologia revelou leiomiossarcoma.

  8. Evidence of Mirror Neurons in Human Inferior Frontal Gyrus

    Kilner, J.M.; Neal, A.; Weiskopf, N; Friston, K.J; Frith, C. D.

    2009-01-01

    There is much current debate about the existence of mirror neurons in humans. To identify mirror neurons in the inferior frontal gyrus (IFG) of humans we employed a repetition suppression paradigm while measuring neural activity with functional magnetic resonance imaging. Subjects either executed or observed a series of actions. Here we show that in the IFG, responses were suppressed both when an executed action was followed by the same rather than a different observed action and when an obse...

  9. Visual Modulation of Auditory Responses in the Owl Inferior Colliculus

    Bergan, Joseph F; Knudsen, Eric I.

    2009-01-01

    The barn owl's central auditory system creates a map of auditory space in the external nucleus of the inferior colliculus (ICX). Although the crucial role visual experience plays in the formation and maintenance of this auditory space map is well established, the mechanism by which vision influences ICX responses remains unclear. Surprisingly, previous experiments have found that in the absence of extensive pharmacological manipulation, visual stimuli do not drive neural responses in the ICX....

  10. Optional inferior vena caval filters: where are we now?

    Keeling, A N

    2008-08-01

    With the advent of newer optional\\/retrievable inferior vena caval filters, there has been a rise in the number of filters inserted globally. This review article examines the currently available approved optional filter models, outlines the clinical indications for filter insertion and examines the expanding indications. Additionally, the available evidence behind the use of optional filters is reviewed, the issue of anticoagulation is discussed and possible future filter developments are considered.

  11. Exodoncia del tercer molar: Factores que determinan complejidad

    Ivan Manotas Arevalo

    2014-06-01

    Full Text Available ResumenUno de los procedimientos más frecuentes en el campo de la Cirugía Oral es la exodoncia, o extracción dental. La prevención y la promoción de hábitos saludables dentro de los que se cuenta la práctica del cepillado dental, uso de dentífricos, hilo dental y enjuagatorios bucales, además de visitas periódicas de control a especialistas y odontólogos generales e higienistas bucales ha conllevado a una reducción en la perdida de estructuras dentarias por causa de la caries y las periodontopatìas. Sin embargo se mantiene alto el número de exodoncias indicadas por falta de espacio en la estructura de los maxilares para la erupción dental, así como alteraciones en la posición y angulacion de los órganos dentales sobre su eje que impide una adecuada ubicación logrando que se indique su extracción. Dentro de la serie dental los órganos dentarios más frecuentemente afectados por este tipo de alteraciones son los terceros molares. También se mencionan que son esos mismos dientes los que acusan mayor grado de complejidad para realizar el procedimiento de exodoncia, y los que causan mayor grado de morbilidad posquirúrgica en el paciente, con un número mayor de complicaciones y su severidad, descritas en la literatura. (Duazary 2008; 141-147. Este artículo pretende analizar los factores que determinan complejidad en la exodoncia del tercer molar a partir de una revisión bibliografía y comparación de ésta.AbstractOne of the most frequent procedure used in the field of Oral Surgery is extracted, or tooth extraction. The prevention and promoting healthy habits in mind that the practice of brushing teeth, use of toothpastes, mouthwashes and dental floss mouth, in addition to regular monitoring visits to specialists and general dentists and oral hygiene has led to a reduction in the loss of structures caused by tooth decay and periodontal pathology. However remains high number of extractions indicated by lack of space in the structure of the jaw to the tooth eruption, as well as changes in the position and angle of dental bodies on its axis which prevents a proper location are indicated achieving extraction. Within the series dental bodies teeth more frequently affected by such changes are the third molars. He also mentioned that the teeth are those who accuse greater degree of complexity to perform the extraction procedure, and causing greater morbidity in post surgical patients, with more complications and their severity, described in the literature. This article aims to analyze the factors that determine complexity in the third molar extraction from a literature review and compare it.Key Words: third molars; exodontia; surgery third molars; complex dental extraction; prediction of complexity.

  12. Bilateral catheterization of inferior petrosal sinous: Utility in Cushing syndrome

    The aim of this study is to present our experience on bilateral and simultaneous inferior petrous sinus catheterization, on those patients with ACTH -dependent Cushing's syndrome. We describe the procedure and our results. Material and Method: A retrospective study was held between January 2003 and September 2009, including nine patients (2 men, 7 women) presenting ACTH - dependent Cushing's syndrome. Simultaneous inferior petrosal sinus catheterization was performed in all of them, sampling basal ACTH and after CRH stimulation. ACTH levels gradient in different pituitary locations and peripheral blood levels was recorded. Diagnosis was suggested when inappropriate and maintained hypercortisolemia. High urinary free cortisol levels and no response to dexamethasone suppression were detected. Eight out of nine patients had a prior negative imaging test result. Results: Inferior petrosal sinus bilateral catheterization was successfully performed in all cases, with no evidence of further complications. The results showed definitive diagnosis in all cases. In four patients ACTH levels gradient was lateralized to the left, leading to a specific surgical approach. One patient presented pituitary ACTH - secreting adenoma. Two other patients showed ectopic ACTH production, one showed suprarenal adenoma secreting ACTH and other one showed response to pituitary stimulation without side lateralisation, presenting a histological diagnosis of pituitary hyperplasia. Conclusion: Petrosal sinus catheterization is shown to be an efficient procedure to manage Cushing's syndrome differential diagnosis and to obtain specific anatomical information.

  13. Cameriere's third molar maturity index in assessing age of majority.

    Gali?, Ivan; Lauc, Tomislav; Brki?, Hrvoje; Vodanovi?, Marin; Gali?, Elizabeta; Biazevic, Maria Gabriela Haye; Brakus, Ivan; Badrov, Jozo; Cameriere, Roberto

    2015-07-01

    Estimation of chronological age of an individual is one of the main challenges in forensic science. Legally to be able to treat a person as a minor or an adult, it is necessary to determine whether their age of majority (if they are older or younger than 18, in most countries). Methods for estimating age are especially important when an individual in question lacks personal documents or other means of identification. As the dental age differs in various populations, the aim of this study was to evaluate applicability of third molar method for assessing age of majority in Croatia. Cameriere's third molar maturity index (I3M) value of 0.08, measured by the open apices of the teeth, was verified in sample of 1336 panoramic images aged between 14 and 23 years. Chronological age gradually decreased as I3M increased in both genders. Males showed statistically significant advanced maturation when I3M was between 0.0 and 0.3 value. The results indicate that the sensitivity of the test for 0.08 value was 84.3% (95%CI 80.6%, 87.5%) for females and 91.2% (95%CI 88.7%, 93.1) for males. Specificity was 95.4% (95%CI 92.5%, 97.5%) and 91.9% (95%CI 88.8%, 94.3%). The proportions of accurately classified males were 88.8% and that of females 91.5%. The estimated post-test probabilities, of individuals, in other word the probability that a Croatian individual with an I3M<0.08 is 18 years or older is 94.5% for females, and 96.5% for males. With high accuracy, the third molar maturity index should be used as a determinant of the age of majority in Croatia. PMID:26013667

  14. Compensation trends of the angulation of first molars: retrospective study of 1403 malocclusion cases.

    Su, Hong; Han, Bing; Li, Sa; Na, Bin; Ma, Wen; Xu, Tian-Min

    2014-09-01

    We investigated the compensatory trends of mesiodistal angulation of first molars in malocclusion cases. We compared differences in the angulation of first molars in different developmental stages, malocclusion classifications and skeletal patterns. The medical records and lateral cephalogrammes of 1403 malocclusion cases taken before treatment were measured to evaluate compensation of molar angulation in relation to the skeletal jaw. The cases were stratified by age, Angle classification and skeletal patterns. Differences in the mesiodistal angulation of the first molars were compared among the stratifications. We observed three main phenomena. First, angulation of the upper first molar varied significantly with age and tipped most distally in cases aged 16 years. The lower first molar did not show such differences. Second, in Angle Class II or skeletal Class II cases, the upper first molar was the most distally tipped, the lower first molar was the most mesially tipped, and opposite angulation compensation was observed in Class III cases. Third, in high-angle cases, the upper and lower first molars were the most distally tipped, and opposite angulation compensation was observed in low-angle cases. These data suggest that the angulation of the molars compensated for various growth patterns and malocclusion types. Hence, awareness of molar angulation compensation would help to adjust occlusal relationships, control anchorage and increase the chances of long-term stability. PMID:24699185

  15. Injury of the Inferior Alveolar Nerve during Implant Placement: a Literature Review

    Gintaras Juodzbalys; Hom-Lay Wang; Gintautas Sabalys

    2011-01-01

    Objectives: The purpose of present article was to review aetiological factors, mechanism, clinical symptoms, and diagnostic methods as well as to create treatment guidelines for the management of inferior alveolar nerve injury during dental implant placement.Material and Methods: Literature was selected through a search of PubMed, Embase and Cochrane electronic databases. The keywords used for search were inferior alveolar nerve injury, inferior alveolar nerve injuries, inferior alveolar nerv...

  16. The topography of the furcation entrance in Chinese molars. Furcation entrance dimensions.

    Hou, G L; Chen, S F; Wu, Y M; Tsai, C C

    1994-08-01

    The purpose of the present study was to document the furcation entrance dimensions (FEDs) of the maxillary and mandibular 1st and 2nd molars and relate them to the choice of periodontal therapy. Study samples consisted of 89 maxillary molars (49 1st and 40 2nd molars) and 93 mandibular molars (50 1st and 43 2nd molars). All the FEDs of the molars were examined and measured under a stereomicroscope at 2.5 x equipped with a Bioscan OPTIMAS Image Analyzer (BOIA). The results may be summarized as follows. (1) The mean FEDs in the buccal, distal and mesial furcations of maxillary 1st and 2nd molars were 0.74 mm, 0.99 mm and 1.04 mm in the 1st molars, and 0.63 mm, 0.67 mm, 0.90 mm in the 2nd molars, respectively. In the buccal and lingual furcations of mandibular 1st and 2nd molars, they measured 0.88 mm and 0.81 mm, and 0.73 mm and 0.71 mm, respectively. (2) The %s of FEDs of 0.56 mm or less (the tip width of a Cavitron tip being 0.56 mm) in the buccal, distal and mesial furcations of maxillary 1st and 2nd molars, accounted for 32%, 8% and 6% of 1st molars, and 40%, 40% and 18% of 2nd molars. In the buccal and lingual areas of mandibular 1st and 2nd molars, they accounted for 16% and 26%, and 35% and 33% of the furcations, respectively.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7929856

  17. Aneurisma da artria cerebelar ntero-inferior: relato de caso Aneurysm of the anterior inferior cerebellar artery: case report

    Juan Oscar Alarcn Adorno; Guilherme Cabral de Andrade

    2002-01-01

    Os aneurismas intracranianos do sistema vrtebro-basilar representam cerca de 5 a 10% de todos os aneurismas cerebrais. Os aneurismas da artria cerebelar ntero-inferior (AICA) so considerados raros, podendo causar sndrome do ngulo ponto cerebelar, com ou sem hemorragia subaracnidea. Desde 1948, foram descritos poucos casos na literatura. Apresentamos o caso de uma paciente, de 33 anos, na qual, aps investigao de quadro de hemorragia subaracnidea, diagnosticou-se aneurisma sacular da...

  18. Deuterium isotope effect on molar heat capacities and apparent molar heat capacities in dilute aqueous solutions: A multi-channel heat-flow microcalorimeter study

    The molar heat capacities of chloroform, dichloromethane, methanol, acetonitrile, acetone, dimethyl sulfoxide, benzene, dimethylformamide, toluene, and cyclohexane, as well as their deuterated isotopologues, were measured using a multi-channel heat conduction TAM (Thermal Activity Monitor) III microcalorimeter. In addition, the apparent molar heat capacities of some of the associated dilute aqueous solutions (0.0039 i < 0.0210) were also measured. A temperature drop method from (298.15 to 297.15) K at 0.1 MPa was employed. The corresponding heat capacities were determined from the integration of the measured heat flow. The heat capacity results are shown to be in good to very good agreement with the available literature values. In addition, good correlations were obtained for the effect of isotopic substitution on both molar heat capacity and apparent molar heat capacity in aqueous solutions. These correlations should be useful in the prediction of the molar heat capacities or the apparent molar heat capacities of other deuterated compounds. Since these measurements were conducted with ampoules, the effects of heat of condensation and/or vapor space on the accuracy of the heat capacity determinations are discussed. The overall results from this study demonstrate the utility of a multi-channel heat conduction microcalorimeter in obtaining good reproducibility and good accuracy for molar heat capacities as well as apparent molar heat capacities from simultaneous samples

  19. Effect of sodium hypochlorite and edta irrigation, individually and in alternation, on dentin microhardness at the furcation area of mandibular molars

    Danilo, Zaparolli; Paulo Csar, Saquy; Antonio Miranda, Cruz-Filho.

    Full Text Available A proposta desse estudo foi avaliar o efeito do NaOCl 1% e do cido etilenodiaminotetractico 17% (EDTA), de forma isolada e alternada, sobre a microdureza dentinria da regio da furca de molares inferiores. A superfcie oclusal e as razes de vinte molares inferiores, recm extrados, foram cortad [...] as transversalmente e descartadas. Os espcimes foram distribudos em 4 grupos (n=5) de acordo com a soluo irrigante utilizada. As solues empregadas foram EDTA 17% (I), NaOCl 1% (II), NaOCl 1% e EDTA 17% (III), e gua destilada (IV) (controle). Os dentes foram includos em blocos de resina acrlica e cortados transversalmente. A hemi-seco que melhor representou a furca dental foi lixada e polida para a avaliao da microdureza Knoop. As medidas obtidas foram analisadas utilizando-se teste ANOVA seguido do teste de comparao mltipla de Tukey (?=0,05). Os resultados desse estudo mostraram que todas as solues, exceto o grupo controle, diminuram a microdureza dentinria. O EDTA no apresentou diferena estatstica significante em relao ao NaOCl/EDTA (p>0,05), mas foi diferente do NaOCl (p Abstract in english The aim of this study was to evaluate the effect of irrigation regimens on dentin microhardness at the furcation area of mandibular molars, using sodium hypochlorite and ethylenediaminetetraacetic acid (EDTA), individually and in alternation. The occlusal surface and the roots of 20 non-carious extr [...] acted human permanent mandibular molars were cut transversally and discarded. The tooth blocks were embedded in acrylic resin and randomly assigned to 4 groups (n=5) according to the irrigating regimens: 1% NaOCl solution, 17% EDTA solution, 1% NaOCl and 17% EDTA and distilled water (control). Knoop microhardness of dentin at the furcation area was evaluated. Data were analyzed using one-way ANOVA and Tukey's multiple comparison tests (?=0.05). The results of this study indicated that all irrigation solutions, except for distilled water (control), decreased dentin microhardness. EDTA did not show a significant difference with NaOCl/EDTA (p>0.05), but showed a significant difference with NaOCl (p

  20. Supplemental root in a mandibular first molar: a rarity

    Poonam Mahajan

    2011-04-01

    Full Text Available Anatomic variations are common in human dentition. A clear understanding of these variations is very important for success of endodontic treatment. A dentist should be aware of these anatomic variations as this can affect the treatment outcome. A case of endodontic therapy is presented in which inability to locate an anatomically rare supplemental canal of a three rooted mandibular first molar resulted in treatment failure. A 21-year-old female reported with pain and swelling in relation to lower right first molar. An intra oral periapical radiograph revealed 3 roots; the first canal of the mesial root and a canal of one of the distal roots were found to be treated endodontically, which were infraobturated but the canal of the 2nd distal root had not been treated. The radiograph revealed periapical radiolucency and widening of periodontal space. Prior to starting the endodontic treatment the clinician must be aware of the anatomic variations in tooth pulp morphology and also the importance of preoperative radiographs cannot be underscored.

  1. Differential Expression of p63 in Hydropic and Molar Gestations

    Objective:To observe the differential expression of p63 in hydropic and molar gestation. Study Design: Cross-sectional analytical study. Place and Duration of Study: Department of Pathology, Basic Medical Sciences Institute, Jinnah Postgraduate and Medical Centre, Karachi, from January 2006 to June 2013. Methodology: Ninety placental biopsies including 30 cases each of hydropic abortions, partial hydatidiform mole and complete hydatidiform mole were analyzed for morphological features and results of immunohistochemical staining. Results were described as frequency. Significance was determined using test of proportions with significance at p < 0.05. Results: Out of 30 cases of hydropic abortion, 6 were negative, 15 were weak, 4 were moderate and 5 showed strong degree of intensity for p63. Out of 30 cases of partial hydatidiform mole, 3 were negative, 2 showed weak, 4 showed moderate and 21 cases showed strong degree of intensity for p63. All 30 cases of complete hydatidiform mole strongly stained for p63. Conclusion: The intensity of staining of p63 was stronger in cases of molar pregnancy as compared to hydropic abortion. There was loss of p63 expression in cytotrophoblastic cells in all abortions. In limited resources settings, where facilities for PCR/FISH and DNA ploidy analysis is not available, the authors advocate p63 in routine clinical practice to provide the most refined diagnosis of hydatidiform moles. (author)

  2. A geometric morphometric analysis of hominin upper first molar shape.

    Gómez-Robles, A; Martinón-Torres, M; Bermúdez de Castro, J M; Margvelashvili, A; Bastir, M; Arsuaga, J L; Pérez-Pérez, A; Estebaranz, F; Martínez, L M

    2007-09-01

    Recent studies have revealed interesting differences in upper first molar morphology across the hominin fossil record, particularly significant between H. sapiens and H. neanderthalensis. Usually these analyses have been performed by means of classic morphometric methods, including the measurement of relative cusp areas or the angles defined between cusps. Although these studies have provided valuable information for the morphological characterization of some hominin species, we believe that the analysis of this particular tooth could be more conclusive for taxonomic assignment. In this study, we have applied geometric morphometric methods to explore the morphological variability of the upper first molar (M(1)) across the human fossil record. Our emphasis focuses on the study of the phenetic relationships among the European middle Pleistocene populations (designated as H. heidelbergensis) with H. neanderthalensis and H. sapiens, but the inclusion of Australopithecus and early Homo specimens has helped us to assess the polarity of the observed traits. H. neanderthalensis presents a unique morphology characterized by a relatively distal displacement of the lingual cusps and protrusion in the external outline of a large and bulging hypocone. This morphology can be found in a less pronounced degree in the European early and middle Pleistocene populations, and reaches its maximum expression with the H. neanderthalensis lineage. In contrast, modern humans retain the primitive morphology with a square occlusal polygon associated with a round external outline. PMID:17599390

  3. Solvent-mediated molar conductivity of protic ionic liquids.

    Thawarkar, Sachin; Khupse, Nageshwar D; Kumar, Anil

    2015-01-01

    The molar conductivity, ?m, of protic ionic liquids (PILs) in molecular solvents is measured at 298.15 K. The decrease in the ?m values of PILs is observed with an increase in the concentration of PILs. The limiting molar conductivities, ?m(0), were obtained for each PIL in different molecular solvents using a least squares method. The ?m(0) data for PILs were correlated with the structural aspects of PILs and solvent properties. The polar protic solvents show poor ionic association as compared to the polar aprotic solvents, which is discussed on the basis of the hydrogen bond donating (HBD) ability of solvents and PILs. The alkyl chain substitution of anions plays a significant role in the ionic association of the PILs. The diffusion coefficient D(0) and the transport number t were determined, which were consistent with the ?m(0) values of PILs in water. The ?m(0) and D(0) values are dependent on the hydrodynamic radius of anions of these ionic liquids. The extent of ionic association for each PIL was discussed using temperature dependent ?m data for aqueous PIL systems in terms of the Walden plot. PMID:25406387

  4. Nanomechanical Behavior of Human Molars Soaked in Slight Acid Solutions

    Fang, Te-Hua; Chang, Win-Jin; Kang, Shao-Hui; Chu, Chia-Chun

    This paper studied the mechanical and chemical properties of hydroxyl apatite (HA) crystal structure in the teeth when human molars were soaked in slight acid solution. First, we soaked the ground and polished molars respectively in the liquor of 30 wt.% H2CO3 and the liquor of 30 wt.% H2O2 for 10, 20, or 60 minutes. Next, we used a nanoindenter to measure the hardness and Young's modulus. Finally, we used a scanning electron microscope (SEM) coupled with energy dispersive spectroscopy (EDS) to analyze the variation of Ca, P and Na in teeth, a high resolution transmitting electron microscope (HRTEM) to observe the arrangement of crystallization phase of HA, and X-ray diffraction (XRD) to analyze the crystallinity of the hexagonal phase of HA. The results showed that the demineralization phenomenon of the calcium-phosphorous compound in teeth made the teeth reduce sharply in hardness and Young's modulus after they were soaked in the two slight acid solutions for 10 minutes, but the re-mineralization phenomenon made the hardness and Young's modulus ascend gradually when the time lasted longer. With the same period of time, the teeth soaked in H2CO3 were lower in the hardness and Young's modulus than that in H2O2.

  5. Reversible melting of high molar mass poly(oxyethylene)

    The heat capacity, C p, of poly(oxyethylene), POE, with a molar mass of 900,000 Da, was analyzed by temperature-modulated differential scanning calorimetry, TMDSC. The high molar mass POE crystals are in a folded-chain macroconformation and show some locally reversible melting, starting already at about 250 K. At 335 K the thermodynamic heat capacity reaches the level of the melt. The end of melting of a high-crystallinity sample was analyzed quasi-isothermally with varying modulation amplitudes from 0.2 to 3.0 K to study the reversible crystallinity. A new internal calibration method was developed which allows to quantitatively assess small fractions of reversibly melting crystals in the presence of the reversible heat capacity and large amounts of irreversible melting. The specific reversibility decreases to small values in the vicinity of the end of melting, but does not seem to go to zero. The reversible melting is close to symmetric with a small fraction crystallizing slower than melting, i.e., under the chosen condition some of the melting and crystallization remains reversing. The collected data behave as one expects for a crystallization governed by molecular nucleation and not as one would expect from the formation of an intermediate mesophase on crystallization. The method developed allows a study of the active surface of melting and crystallization of flexible macromolecules

  6. Patterns of bilateral agenesis of maxillary third molars and agenesis of other teeth.

    Sanpei, Sugako; Ishida, Rieko; Sanpei, Shinya; Endo, Saori; Tanaka, Satoshi; Endo, Toshiya; Sekimoto, Tsuneo

    2016-01-01

    The purpose of this study was to investigate the patterns of bilateral agenesis of maxillary third molars and other tooth agenesis in Japanese orthodontic patients. A group of 262 subjects with bilateral agenesis of maxillary third molars (group A) was divided into three subgroups: group 1A consisting of 114 subjects without agenesis of mandibular third molars; group 2A, 31 subjects with unilateral agenesis of mandibular third molars; and group 3A, 117 subjects with agenesis of all third molars. As controls, 926 other subjects without third molar agenesis were selected (group C). Panoramic radiographs were mainly used to examine for tooth agenesis. The Chi square test and odds ratio were used to make statistical comparisons. The prevalence rates of agenesis of maxillary lateral incisors, mandibular incisors and maxillary and mandibular second premolars, and bilateral agenesis of maxillary lateral incisors and second premolars were significantly higher in any one of the third molar agenesis groups than in the control group. Characteristically, no significant increase in occurrence of bilateral agenesis of mandibular second premolars was demonstrated by the subjects with bilateral agenesis of maxillary third molars. Irrespective of whether unilateral or bilateral agenesis of mandibular third molars is present or not, the Japanese orthodontic patients with bilateral agenesis of maxillary third molars exhibited a significantly increased occurrence of unilateral or bilateral agenesis of maxillary lateral incisors, mandibular incisors and maxillary and mandibular second premolars, except for bilateral agenesis of mandibular incisors and second premolars. PMID:25636272

  7. Radiographic evaluation of third molar development in 6 to 24 year olds

    Jung, Yun Hwa; Cho, Bong Hae [Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University, Yangsan (Korea, Republic of)

    2014-09-15

    This study investigated the developmental stages of third molars in relation to chronological age and compared third molar development according to location and gender. A retrospective analysis of panoramic radiographs of 2490 patients aged between 6 and 24 years was conducted, and the developmental stages of the third molars were evaluated using the modified Demirjian's classification. The mean age, standard deviation, minimal and maximal age, and percentile distributions were recorded for each stage of development. A Mann-Whitney U test was performed to test the developmental differences in the third molars between the maxillary and mandibular arches and between genders. A linear regression analysis was used for assessing the correlation between the third molar development and chronological age. The developmental stages of the third molars were more advanced in the maxillary arch than the mandibular arch. Males reached the developmental stages earlier than females. The average age of the initial mineralization of the third molars was 8.57 years, and the average age at apex closure was 21.96 years. The mean age of crown completion was 14.52 and 15.04 years for the maxillary and the mandibular third molars, respectively. The developmental stages of the third molars clearly showed a strong correlation with age. The third molars developed earlier in the upper arch than the lower arch; further, they developed earlier in males than in females.

  8. Radiographic evaluation of third molar development in 6 to 24 year olds

    This study investigated the developmental stages of third molars in relation to chronological age and compared third molar development according to location and gender. A retrospective analysis of panoramic radiographs of 2490 patients aged between 6 and 24 years was conducted, and the developmental stages of the third molars were evaluated using the modified Demirjian's classification. The mean age, standard deviation, minimal and maximal age, and percentile distributions were recorded for each stage of development. A Mann-Whitney U test was performed to test the developmental differences in the third molars between the maxillary and mandibular arches and between genders. A linear regression analysis was used for assessing the correlation between the third molar development and chronological age. The developmental stages of the third molars were more advanced in the maxillary arch than the mandibular arch. Males reached the developmental stages earlier than females. The average age of the initial mineralization of the third molars was 8.57 years, and the average age at apex closure was 21.96 years. The mean age of crown completion was 14.52 and 15.04 years for the maxillary and the mandibular third molars, respectively. The developmental stages of the third molars clearly showed a strong correlation with age. The third molars developed earlier in the upper arch than the lower arch; further, they developed earlier in males than in females.

  9. Topological and thermodynamic investigations of binary mixtures: Molar excess volumes, molar excess enthalpies and isentropic compressibility changes of mixing

    Sharma, Dimple; Yadav, Jaibir S. [Department of Chemistry, Maharshi Dayanand University, Rohtak 124001 (India); Kumar, Satish [Apeejay College of Engineering, Sohna, Gurgaon 122001 (India); Singh, K.C. [Department of Chemistry, Maharshi Dayanand University, Rohtak 124001 (India); Sharma, V.K. [Department of Chemistry, Maharshi Dayanand University, Rohtak 124001 (India)], E-mail: v_sharmachem58@rediffmail.com

    2008-09-15

    Molar excess volumes, V{sup E}, molar excess enthalpies, H{sup E}, and speeds of sound, u, of o-toluidine (i) + cyclohexane or n-hexane or n-heptane (j) binary mixtures have been determined over entire range of composition at 308.15 K. Speeds of sound data have been utilized to predict isentropic compressibility changes of mixing, {kappa}{sub S}{sup E} of (i + j) mixtures. The observed V{sup E}, H{sup E} and {kappa}{sub S}{sup E} data have been analyzed in terms of Graph theory. The analysis of V{sup E} data by Graph theory reveals that o-toluidine exists as an associated molecular entity and (i + j) mixtures contain 1:1 molecular complex. It has been observed that V{sup E}, H{sup E} and {kappa}{sub S}{sup E} values calculated by Graph theory compare well with their corresponding experimental values. The observed data have also been analyzed in term of Flory theory.

  10. Consideraciones restauradoras y periodontales de molares tratados con reseccin radicular Restoration and periodontal considerations of resectioned molar teeth

    J.C. Cuartas Ramrez

    2010-12-01

    Full Text Available La restauracin de molares sometidos a reseccin radicular debe realizarse cuidadosa y apropiadamente. Los problemas que pueden aparecer cuando la terapia restauradora no es llevada a cabo adecuadamente incluyen problemas de retencin, excesiva debilidad de la estructura radicular e incompleto sellado marginal. La ciruga preprotsica es una fase importante de este proceso y aun cuando la reparacin tisular ocurre 6 u 8 semanas despus del corte, se pueden evaluar diferentes tipos de restauraciones de acuerdo al entorno periodontal, sin embargo, su pronstico a largo plazo es incierto. Los estudios clnicos indican que los principales fracasos son de origen periodontal, endodntico y biomecnico.Great care should be taken in properly restoring molars that have undergone root resection surgery. Problems that can arise when reconstructive treatment is not correctly carried out comprise faulty retention, excessive weakening of root structure, incomplete marginal seal. Preprothesic surgery is a particularly important step of the process and although tissue repair occurs 6 to 8 weeks after coronoradicular resection, different types of prostheses can be evaluated according to the periodontal environment. The long-term prognosis for this type of restoration is uncertain. Clinical studies indicate that the main sources of failure are periodontal, endodontic, and biomechanical.

  11. Pendulum: distalizao do molar com simplicidade na confeco e utilizao Pendulum: molar distalization with simplicity on its making and utilization

    Mrian Lucena M. Leiros

    2004-08-01

    Full Text Available Durante muito tempo, a correo da Classe II baseava-se no uso de ancoragem extrabucal. Atualmente, inmeros dispositivos trazem a possibilidade de distalizao dos molares permanentes superiores, dentre estes o aparelho pndulo preconizado por Hilgers o qual requer um mnimo de cooperao do paciente, considerando-se que a falta de colaborao poder levar ao fracasso o mais bem elaborado plano de tratamento. O objetivo deste trabalho descrever as caractersticas, confeco e indicaes do Pndulo, contando com a ilustrao de casos clnicos.Over the time, the correction of Class II has been based on the use of anchorage extraoral traction with the headgear. Nowadays, many devices have been used to give the possibility of distalization of the maxillary permanents molars. One of these devices is the , appliance Pendulum suggested by Hilgers. This device also requires a minimum of the patient's cooperation; considering that the lack of the patient's cooperation can compromise the careful elaborated treatment plan. The aim of work is to describe the characteristic, the way of making and the indication of the Pendulum, based on case illustrations practices medicine.

  12. Multicentric pheochromocytoma and involvement of the inferior vena cava

    Antonio Marmo, Lucon; Renato, Falci Jnior; Jos Nery, Praxedes; Marcel Cerqueira Cesar, Machado; Luis Balthazar, Saldanha; Marcelo Marcondes, Machado; Sami, Arap.

    2001-03-01

    Full Text Available CONTEXTO: Feocromocitoma com invaso de veia cava inferior raro. Tumores multicntricos so igualmente raros, estando presentes em at 10% dos casos. A cirurgia o tratamento de escolha, uma vez que a sobrevida livre da doena longa. TIPO DE ESTUDO: Relato de caso. RELATO DE CASO: Relatamos um [...] caso de feocromocitoma de adrenal direita com extenso para veia cava inferior supra-diafragmtica, retirado cirrgicamente atravs de traco-freno-laparotomia, sem a necessidade de circulao extra-corprea. Aps seis anos de seguimento, outro feocromocitoma foi achado no rgo de Zuckerkandl. A exciso cirrgica completa do tumor foi realizada atravs de laparotomia mediana e disseco retroperitoneal. Em ambos os casos, margens cirrgicas livres do tumor e nveis ps-operatrios normais de catecolaminas garantiram remoo total do feocromocitoma. O estudo anatomopatolgico revelou feocromocitoma maligno com margens livres de neoplasia em ambos os espcimes. Abstract in english CONTEXT: Extension of pheochromocytomas to the inferior vena cava is rare. Multicentric tumors are rare as well, being present in up to 10% of cases. Surgery is the treatment of choice because of the long-term survival free of disease. DESIGN: Case report. CASE REPORT: We report on a case of right a [...] drenal pheochromocytoma with extension to the supra-diaphragmatic vena cava, which underwent surgical excision through thoracophrenic laparotomy without the need for cardiopulmonary bypass. In a 6-year follow-up, another pheochromocytoma was found in the infra-renal Zuckerkandl's organ. Complete surgical excision of the tumor was performed by a median laparotomy and complete retroperitoneal dissection. In both cases, the total removal of the pheochromocytoma has been guaranteed by having margins free of tumor and a normal post-operative level of catecholamines. The pathological study revealed a malignant pheochromocytoma with margins free of neoplasia in both specimens.

  13. Hemianopsia altitudinal inferior por aracnoidite optoquiasmática

    R. Melaragno Filho

    1949-09-01

    Full Text Available Os autores relatam o caso de um paciente de 48 anos de idade, queixando-se de falta de visão nas metades inferiores dos campos visuais, há aproximadamente um ano. A doença evoluiu progressivamente após sinusotomia maxilar e frontal. Os diversos exames complementares realizados nada revelaram de anormal. Reação de Wassermann sempre negativa no sangue. Ao exame oftalmoscópico ficou patenteado, em AO, franca atrofia, no setor superior das papilas e edema pronunciado em suas metades inferiores. O exame campimétrico revelou nítida hemianopsia altitudinal inferior. As demais funções neurológicas e o exame clínico geral nada mais demonstraram de anormal. A iodoventriculografia evidenciou sinais radiológicos de aracnoidite optoquiasmática. À intervenção cirúrgica, foi verificada a existência de aracnoidite intensa na região quiasmática, com compressão dos nervos ópticos e do próprio quiasma. Após a intervenção cirúrgica, exames oftalmoscópicos sucessivos demonstraram melhora franca da acuidade visual em AO e discreto aumento dos campos visuais. Finalizando, os AA. tecem considerações sôbre as prováveis causas etiológicas dêsse tipo de reação meníngea.

  14. A Novel Technique for Inferior Vena Cava Filter Extraction

    Johnston, Edward William, E-mail: ed.johnston@doctors.org.uk; Rowe, Luke Michael Morgan; Brookes, Jocelyn; Raja, Jowad; Hague, Julian, E-mail: julian.hague@uclh.nhs.uk [University College Hospital, Multidisciplinary Endovascular Team (United Kingdom)

    2013-05-02

    Inferior vena cava (IVC) filters are used to protect against pulmonary embolism in high-risk patients. Whilst the insertion of retrievable IVC filters is gaining popularity, a proportion of such devices cannot be removed using standard techniques. We describe a novel approach for IVC filter removal that involves snaring the filter superiorly along with the use of flexible forceps or laser devices to dissect the filter struts from the caval wall. This technique has used to successfully treat three patients without complications in whom standard techniques failed.

  15. Retrievable Inferior Vena Cava Filters for Venous Thromboembolism

    Inferior vena cava (IVC) filters are used as an alternative to anticoagulants for prevention of fatal pulmonary embolism (PE) in venous thromboembolic disorders. Retrievable IVC filters have become an increasingly attractive option due to the long-term risks of permanent filter placement. These devices are shown to be technically feasible in insertion and retrieval percutaneously while providing protection from PE. Nevertheless, there are complications and failed retrievals with these retrievable filters. The aim of the paper is to review the retrievable filters and their efficacy, safety, and retrievability

  16. Radiological evaluation of inferior vena cava obstruction: pictorial essay

    The clinical diagnosis of inferior vena cava (IVC) obstruction is often difficult, since patients may present with a multitude of signs and symptoms. The clinical manifestations depend on several factors: the underlying cause, the level of obstruction, the adequacy of collateral circulation, the presence of intercurrent disease, and the organ system involved. Although the most common clinical manifestations are deep venous thrombosis in the legs, abdominal pain, low back pain, loin pain and hematuria, patients may present with unusual and varied pathologic conditions. IVC obstruction may resemble or be associated with such conditions as congestive cardiac failure, cirrhosis of the liver or renal disease. (author)

  17. Left retrocaval ureter without situs inversus or inferior venacava duplication.

    Thirugnanasambandam, Vasudevan; Nayak, Prasant; Mossadeq, Abdulrazack

    2015-01-01

    Retrocaval ureter (pre-ureteral vena cava) is an uncommon congenital anomaly that causes ureteral obstruction by external compression. Although right retrocaval ureter is a common entity, left retrocaval ureter is extremely rare. A left retrocaval ureter is usually associated with situs inversus or duplicated inferior venacava (IVC). An isolated left retrocaval ureter with single left-sided IVC is even rarer and only four cases have been reported in the literature. We present images of a case with isolated left retrocaval ureter with a single left-sided IVC without situs inversus. PMID:26604455

  18. Partial Invasive Molar Pregnancy –2 Case Reports

    Debasmita Mandal

    2010-01-01

    Full Text Available Gestational trophoblastic disease encompasses several entities like complete mole , partial mole , invasive mole , gestational trophoblastic carcinoma and trophoblastic carcinoma from implantation site . These entities are different from each other by their origins , morphology , their evolution and their treatment. Among all components partial mole is very common (90% and triploid genetically. This is one of the important causative factors of miscarriages. Very rarely (2-4% partial mole can develop into invasive one presenting with features of incomplete abortion , missed abortion and sometimes as obstetric emergencies like intra peritoneal hemorrhage and torrential vaginal bleeding .So proper diagnosis and timely intervention can prevent mortality and reduce morbidity of the patients. Here we report two such cases of partial invasive molar pregnancies with varied picture .

  19. Management of a hopeless mandibular molar: A case report

    saeed asgary

    2011-01-01

    Full Text Available Intentional tooth reimplantation can be an alternative treatment option for teeth with poor or hopeless prognosis where coronal and surgical endodontic treatment(s are not possible. This technique may help to restore a natural tooth to function in preference to prosthesis/implant replacements. A 38-years old male was referred to private practice with persistent chronic apical periodontitis of a previously root canal treated mandibular left first molar. A furcal perforation and distolingual cusp fracture was previously repaired and treated with amalgam (~5 years ago. In view of the patient/tooth’s limitations, intentional reimplantation was planned using CEM cement retrograde filling. Clinical and radiographic follow-up during 2 years postoperatively revealed no sign/symptoms of infection or inflammation. Moreover, periradicular healing was evident on radiographs.

  20. Physicochemical characterization of irradiated high molar mass chitosan

    The present study is aimed to determination of the bio burden for assessing the sterilization dose and to identify the influence of the absorbed dose of gamma radiation on the molar mass and chemical structure of chitosan. The characterization includes the determination of the intrinsic viscosity, deacetylation degree as well as infrared spectrometry. The obtained results have been shown chain cleavage caused by irradiation. It was revealed by a decrease in the intrinsic viscosities of the polymers. The invariance of the infrared spectra of polymers indicated that chain degradation occurs without significant change of the chemical structure. The results obtained have practical implication in the field of radiation sterilization of chitosan used for microencapsulation of mammalian cells

  1. Excess molar volumes and apparent molar volumes of some amide + water systems at 303.15 and 308.15 K

    Pal, A.; Singh, Y.P. [Univ. of Kurukshetra (India). Dept. of Chemistry

    1995-07-01

    Excess molar volumes V{sub m}{sup E} for the binary mixtures of N-methylformamide, N,N-dimethylformamide, 2-pyrrolidinone, N-methyl-2-pyrrolidinone, and N,N-dimethylacetamide with water have been measured using a continuous-dilution dilatometer at 303.15 and 308.15 K as a function of composition. In all mixtures, the excess molar volumes are negative over the entire composition range. The results were used to estimate the apparent molar volumes of the components. The values of these two properties have been discussed in terms of intermolecular interactions between the mixing components of the binary mixture.

  2. Low scar abdominoplasty with inferior positioning of the umbilicus.

    Colwell, Amy S; Kpodzo, Dzifa; Gallico, G Gregory

    2010-05-01

    Miniabdominoplasty with umbilical free float has received little attention in the literature in 15 years and has been criticized for an abnormally low umbilicus. We hypothesized the umbilicus in women presenting for abdominal contouring is positioned higher than ideal and thus may benefit from lowering. In addition, we felt modifications of the original umbilical float technique would improve aesthetic results. A retrospective review identified 60 patients aged 34 to 56 who had abdominoplasty with umbilical fascial transection and inferior positioning. Technical modifications included low placement of a full transverse abdominal scar, abdominal flap undermining to the rib cage, more inferior umbilical repositioning, flank liposuction, and plication of diastasis recti from xiphoid to pubis. Patients did not have enough excess skin to allow traditional abdominoplasty without a high-transverse or vertical midline scar. No umbilical or incisional skin necrosis occurred. To assess optimal umbilical position, plastic surgeons were asked to draw the ideal position on pre- and postoperative photographs from 5 patients. The mean ideal umbilical position was 2.2 cm lower than the actual position (P abdominal skin and full length diastasis recti but a normal body mass index. PMID:20395799

  3. Isolated loss of inferior pubic ramus: a case report

    Saber Aly

    2008-06-01

    Full Text Available Abstract Introduction It has been stated that regulation of the development of the iliac bone is different from that of the ischium and pubis. There are well-known clinical syndromes concerned with hypoplasia of ischiopubic bone, such as small patella syndrome, nail-patella syndrome, ischiopubic-patellar hypoplasia, and ischiopubic hypoplasia. Case presentation A fit and otherwise healthy 35-year-old woman presented with pain in the left lower limb of 6 months duration. She sought advice from an orthopedic surgeon and was referred for exclusion of a primary soft tissue neoplasm. There was no history of trauma, chronic medical illness or surgical operations. Full systemic examination, laboratory investigations and whole body imaging showed no soft tissue swelling or any other bony defects. Isolated loss of the left inferior pubic ramus and thinning of the superior pubic ramus were detected, raising the question of whether the lesion was a secondary osteolytic lesion, a primary osteolytic lesion or due to endocrine disease. Conclusion Isolated loss of the inferior pubic ramus with no concomitant bony or soft tissue anomalies is previously unreported. To the best of the author's knowledge, this finding has not been described previously.

  4. Osteonecrosis del maxilar inferior por bifosfonatos: Presentacin de caso

    P., Sartori; G., Rajcovich; N., Taborda; M.C., Saleme Daza; C., Nally.

    2015-03-01

    Full Text Available La osteonecrosis del maxilar inferior secundaria a la administracin de bifosfonatos es una patologa infrecuente. Se produce en los pacientes medicados con esta droga, ya sea por va oral o endovenosa, que luego de realizarse un procedimiento odontolgico presentan necrosis sea en la mandbula. De [...] sde el primer reporte en el ao 2003, se evidenci un crecimiento exponencial de esta patologa. Presentamos dos casos clnicos de osteonecrosis del maxilar inferior por la administracin de bifosfonatos, con el objetivo de difundir y crear conciencia entre los profesionales de la salud, considerando que no existe un tratamiento efectivo para esta entidad. Abstract in english The osteonecrosis of the jaw originated by the biphosphonate administration is an infrequent pathology in patients under treatment with biophosphonates given orally or through parenteral administration after some odontological treatment. These patients manifested osteonecrosis of the jaw. Since the [...] first case of osteonecrosis of the maxilar bone was reported in 2003, the number of patients with osteonecrosis of the jaw who have been treated with these drugs has increased notoriously. We report 2 clinical cases of patients with osteonecrosis of the jaw treated with bifosfonatos, in order to make this pathology known among the health professionals and raise awareness considering that there is no effective treatment.

  5. Maxillary Second Molar with Single Root and Single Canal—Case Report

    Nexhmije Ajeti; Violeta Vula; Sonja Apostolska; Teuta Pustina; Tringa Kelmendi; Lindihana Emini; Shefqet Mrasori; Resmije Ademi

    2015-01-01

    The maxillary second molar contains three roots and three canals. Variations of the maxillary second molar are reported in numerous studies in vitro and in vivo. Dentists are required to have adequate knowledge related to root canal morphology and their possible variations. The aim of this study was to present a case report about a diagnosis and treatment in maxillary second molar with single root and single canal. It is concluded that the diagnosing of these unusual cases is of high importan...

  6. Orthodontic Molar Brackets: The Effect of Three Different Base Designs on Shear Bond Strength

    Hudson, Athol P.; Grobler, Sias R; Harris, Angela M. P.

    2011-01-01

    The purpose of the study was to assess the relative base designs of three different maxillary molar stainless steel brackets with reference to the shear bond strength of three different adhesive resins. The molar brackets used were Victory series (3M Unitek), Upper Molar (GAC) and Optimesh XRT (Ormco). The adhesives used were Transbond XT (3M Unitek), Enlight (Ormco) and Sure Ortho Light Bond (Sure Orthodontics). The human enamel specimens (144) were randomly divided into nine groups and each...

  7. Containing the cost of third-molar extractions: a dilemma for health insurance.

    Friedman, J W

    1983-01-01

    No known scientific studies support the extraction of third molars (wisdom teeth) to prevent future disease. Yet, third-molar surgery for this purpose has become so common that in at least one major U.S. health insurance plan, the cumulative cost exceeds that for every other kind of major surgery. Many third molars that are developing normally in adolescents are classified as impacted and removed before they erupt, a practice that results in large expenditures for unnecessary surgery. In addi...

  8. Automatic Molar Extraction from Dental Panoramic Radiographs for Forensic Personal Identification

    Samopa, Febriliyan; Asano, Akira; Taguchi, Akira

    Measurement of an individual molar provides rich information for forensic personal identification. We propose a computer-based system for extracting an individual molar from dental panoramic radiographs. A molar is obtained by extracting the region-of-interest, separating the maxilla and mandible, and extracting the boundaries between teeth. The proposed system is almost fully automatic; all that the user has to do is clicking three points on the boundary between the maxilla and the mandible.

  9. Fate of third molar in line of mandibular angle fracture - Retrospective study

    Preetha Balaji

    2015-01-01

    Conclusion: The present study fails to identify any concrete factors that would predict the failure of the retained third molar that were involved in the line of mandibular fractures. The proof presented here, especially with low complication rates indicate that all impacted third molar along the line of fracture be removed and unless necessary, the partially erupted teeth would also be extracted. In such a situation, the rate of infection and survival of the third molar would have been entirely different.

  10. Agenesis of maxillary permanent first molars: literature review and two case reports

    Anthonappa, RP; Yiu, CKY; King, NM

    2009-01-01

    Congenital absence of teeth is the most commonly known developmental dental anomaly in humans. Agenesis of the permanent first molars has the least frequency of all the tooth types and when present, usually occurs in association with oligodontia or anodontia. Generally, it is easy to diagnose agenesis of the permanent first molars retrospectively, based on the clinical morphology and x-ray photographic features of the permanent second molars; while it is often debatable when made prospectivel...

  11. Age estimation using development of third molars in South Indian population: A radiological study

    Priyadharshini, K. Indra; Idiculla, Jose Joy; Sivapathasundaram, B.; Mohanbabu, V.; Augustine, Dominic; Patil, Shankargouda

    2015-01-01

    Aim: To assess the estimation of chronological age based on the stages of third molar development following the eight stages (A–H) method of Demirjian et al. in Chennai population of South India. Materials and Methods: A sample consisting of 848 individuals (471 males and 377 females) aged between 14 and 30 years was randomly selected for the clinical evaluation and 323 orthopantomograms with clinically missing third molars were taken for radiological evaluation using Demirjian's method from a Chennai population of known chronological age and sex. Statistical analysis was performed using Pearson's Chi-square test and mean values were compared between the study groups using t-test or analysis of variance (ANOVA) followed by Tukey's highly significant difference (HSD). In the present study, P < 0.05 was considered as the level of significance. Results: The results showed that the mean age of having clinically completely erupted maxillary third molars was 22.41 years in male subjects and 23.81 years in female subjects and that of mandibular third molars was 21.49 years in male subjects and 23.34 years in female subjects. Mandibular third molars were clinically missing more often in females than in males. Eruption of mandibular third molars was generally ahead of the emergence of maxillary third molars into the oral cavity. Third molar development between male and female subjects showed statistically significant differences at calcification stage F and stage G in maxillary third molars and stage F in mandibular third molars (P < 0.05). Conclusion: There are differences indicating that maxillary and mandibular third molar eruption reached Demirjian's formation stages earlier in males than in females. It is suggested that in future studies, to increase the accuracy of age determination, indications of sexual maturity and ossification should also be evaluated in addition to third molar mineralization. PMID:25984465

  12. A Maxillary Second Molar with Two Separate Palatal Roots: A Case Report

    Fakhari E.

    2013-06-01

    Full Text Available Variations of dental root canals were reported by different authors. One of the rare variations is the presence of two separate palatal roots of maxillary molars, especially second maxillary molars. This case study reported a maxillary second molar with two separate palatal roots and a palatal bifurcation which was found during the periodontal flap surgery. Although these variations are rare, awareness of their presence would help in successful periodontal and endodontic treatment.

  13. Periodontal considerations in the use of bonds or bands on molars in adolescents and adults.

    Boyd, R L; Baumrind, S

    1992-01-01

    This longitudinal study compared the periodontal status of bonded and banded molars in 20 adult and 40 adolescent patients before, during and after treatment with fixed orthodontic appliances. Plaque accumulation (measured by the Plaque Index), gingival inflammation (measured by the Gingival Index and the bleeding tendency), and pocket depth were assessed by one examiner at sites along the mesio-buccal line angle of the maxillary right first molar and the mandibular left first molar. Assessments were made immediately prior to the placement of fixed appliances (pretreatment), at 1, 3, 6, 9, 12 and 18 months after appliances were placed; and 3 months after appliances were removed (posttreatment). Loss of attachment between the pretreatment and posttreatment visits also was determined. At pretreatment, no significant differences were found in gingival inflammation between maxillary and mandibular banded and bonded molars. During treatment, both maxillary and mandibular banded molars showed significantly (p less than 0.05) greater gingival inflammation and plaque accumulation than did bonded molars. Three months after appliance removal, the maxillary molars that had been banded continued to show significantly more gingival inflammation and loss of attachment than did the maxillary molars that had been bonded. When all banded and bonded teeth were grouped by patient age, mean values for plaque accumulation and gingival inflammation in the maxillary molar regions were significantly greater for adolescents than for adults. PMID:1626745

  14. Assessment of maxillary third molars with panoramic radiography and cone-beam computed tomography

    Jung, Yun-Hoa

    2015-01-01

    Purpose This study investigated maxillary third molars and their relation to the maxillary sinus using panoramic radiography and cone-beam computed tomography (CBCT). Materials and Methods A total of 395 maxillary third molars in 234 patients were examined using panoramic radiographs and CBCT images. We examined the eruption level of the maxillary third molars, the available retromolar space, the angulation, the relationship to the second molars, the number of roots, and the relationship between the roots and the sinus. Results Females had a higher frequency of maxillary third molars with occlusal planes apical to the cervical line of the second molar (Level C) than males. All third molars with insufficient retromolar space were Level C. The most common angulation was vertical, followed by buccoangular. Almost all of the Level C molars were in contact with the roots of the second molar. Erupted teeth most commonly had three roots, and completely impacted teeth most commonly had one root. The superimposition of one third of the root and the sinus floor was most commonly associated with the sinus floor being located on the buccal side of the root. Conclusion Eruption levels were differently distributed according to gender. A statistically significant association was found between the eruption level and the available retromolar space. When panoramic radiographs showed a superimposition of the roots and the sinus floor, expansion of the sinus to the buccal side of the root was generally observed in CBCT images. PMID:26730371

  15. An unusual occurrence of bilaterally geminated mandibular second premolars resulting in premolar molarization: A case report

    A V Rajesh Ebenezar

    2013-01-01

    Full Text Available Gemination refers to an attempt by a single tooth bud to divide, with a resultant formation of either a large tooth with a bifid crown or two completely divided teeth throughout the crown and root. This report describes a rare case of bilateral gemination of permanent mandibular second premolar tooth giving rise to molarization of premolars. The mesiodistal width of these teeth is similar to mandibular molars, but the cervicoocclusal width is lesser than that of the molar tooth. This paper also discusses the potential orthodontic, periodontal, and endodontic complications of premolar molarization.

  16. Orthodontic uprighting of impacted mandibular permanent second molar: A case report

    Reddy S

    2008-03-01

    Full Text Available The mandibular second molars can become impacted beneath the crown of the first molars due to various causes and fail to erupt normally. Presented herewith is a case report of orthodontic uprighting of a mesioangular impacted mandibular right permanent second molar. Though various treatment options were available, an uprighting push spring appliance was used as it is easy to fabricate and produces distal tipping and uprighting of the impacted tooth without the necessity of surgical assistance, bone removal, or splinting. The uprighting of the mandibular second molar was achieved within two months.

  17. A digital volumetric tomography (DVT) study in the mandibular molar region for miniscrew placement during mixed dentition

    Mayur S., Bhattad; Sudhindra, Baliga; Pavan, Vibhute.

    2015-04-01

    Full Text Available OBJETIVO: avaliar, por meio de tomografia volumtrica digital (TVD), a espessura ssea necessria para a instalao de mini-implante na arcada inferior durante a fase de dentio mista. MTODOS: um total de 15 pacientes saudveis, com idades entre 8 e 10 anos, com segundo molar inferior decduo irr [...] ompido recentemente, foram includos no presente estudo. Imagens de TVD da hemiarcada inferior foram obtidas utilizando sistemas de imagens extrabucais Kodak. As imagens foram analisadas por meio do programa de imagens Kodak. O erro do mtodo (EM) foi calculado utilizando a frmula de Dahlberg. Mdias e desvios-padro foram calculados de 6 a 8mm aqum da juno amelocementria. O teste t foi utilizado para a anlise das medidas. RESULTADOS: a espessura do osso cortical vestibular, largura mesiodistal e profundidade ssea vestibulolingual, a 6mm, foram de 1,73 + 0,41; 2,15 + 0,49; e 13,18 + 1,22 mm, respectivamente. J a 8mm, os valores foram de 2,42 + 0,34; 2,48 + 0,33; e 13,65 + 1,25mm. O EM para a espessura do osso cortical vestibular, largura mesiodistal e profundidade ssea vestibulolingual foi de 0,58, 0,40 e 0,48mm, respectivamente. A diferena entre as medidas a 6 e 8mm para a espessura do osso cortical vestibular (p Abstract in english OBJECTIVE: To assess bone thickness for miniscrew placement in the mandible during mixed dentition by using digital volumetric tomograph (DVT). MATERIAL AND METHODS: A total of 15 healthy patients aged 8-10 years old, with early exfoliated mandibular second deciduous molar, were included. DVT image [...] s of one quadrant of the mandible were obtained using Kodak extraoral imaging systems and analyzed by Kodak dental imaging software. The error of the method (EM) was calculated using Dahlberg's formula. Mean and standard deviation were calculated at 6 and 8 mm from the cementoenamel junction (CEJ).Paired t-test was used to analyze the measurements. RESULTS: Buccal cortical bone thickness, mesiodistal width and buccolingual bone depth at 6 mm were found to be 1.73 + 0.41, 2.15 + 0.49 and 13.18 + 1.22 mm, respectively; while at 8 mm measurements were 2.42 + 0.34, 2.48 + 0.33 and 13.65 + 1.25 mm, respectively. EM for buccal cortical bone thickness, mesiodistal width and buccolingual bone depth was 0.58, 0.40 and 0.48, respectively. The difference in measurement at 6 and 8 mm for buccal cortical plate thickness (P 0.05). CONCLUSION: Bone thickness measurement has shown promising evidence for safe placement of miniscrews in the mandible during mixed dentition. The use of miniscrew is the best alternative, even in younger patients.

  18. Comparison of panoramic radiography with cone beam CT in predicting the relationship of the mandibular third molar roots to the alveolar canal

    Shahidi, Shoaleh; Zamiri, Barbod; Bronoosh, Pegah [School of Dentistry, Shiraz University of Medical Sciences, Shiraz (Iran, Islamic Republic of)

    2013-06-15

    Preoperative radiographic assessment of the mandibular third molars is essential to prevent inferior alveolar nerve damage during extraction. The purpose of this study was to assess the reliability of panoramic signs of association between the roots of teeth and the canal, and to compare the panoramic signs with cone beam computed tomography (CBCT) findings. CBCT images of 132 impacted mandibular third molars were evaluated to determine the association of the root to the canal. The CBCT findings were compared with the corresponding panoramic images. Logistic regression analysis was used to define the diagnostic criteria of the panoramic images. Among the panoramic signs, loss of the cortical line was the most frequent radiographic sign predicting association (sensitivity: 79.31). Contact of the tooth with the canal was observed in all cases in which the loss of cortical line of the canal or darkening of the roots was found on the panoramic radiographs. Darkening of the roots and loss of the cortical line on panoramic radiographs might be highly suggestive of the risk of nerve injury.

  19. Comparison of panoramic radiography with cone beam CT in predicting the relationship of the mandibular third molar roots to the alveolar canal

    Preoperative radiographic assessment of the mandibular third molars is essential to prevent inferior alveolar nerve damage during extraction. The purpose of this study was to assess the reliability of panoramic signs of association between the roots of teeth and the canal, and to compare the panoramic signs with cone beam computed tomography (CBCT) findings. CBCT images of 132 impacted mandibular third molars were evaluated to determine the association of the root to the canal. The CBCT findings were compared with the corresponding panoramic images. Logistic regression analysis was used to define the diagnostic criteria of the panoramic images. Among the panoramic signs, loss of the cortical line was the most frequent radiographic sign predicting association (sensitivity: 79.31). Contact of the tooth with the canal was observed in all cases in which the loss of cortical line of the canal or darkening of the roots was found on the panoramic radiographs. Darkening of the roots and loss of the cortical line on panoramic radiographs might be highly suggestive of the risk of nerve injury.

  20. Injury of the Inferior Alveolar Nerve during Implant Placement: a Literature Review

    Gintaras Juodzbalys

    2011-01-01

    Full Text Available Objectives: The purpose of present article was to review aetiological factors, mechanism, clinical symptoms, and diagnostic methods as well as to create treatment guidelines for the management of inferior alveolar nerve injury during dental implant placement.Material and Methods: Literature was selected through a search of PubMed, Embase and Cochrane electronic databases. The keywords used for search were inferior alveolar nerve injury, inferior alveolar nerve injuries, inferior alveolar nerve injury implant, inferior alveolar nerve damage, inferior alveolar nerve paresthesia and inferior alveolar nerve repair. The search was restricted to English language articles, published from 1972 to November 2010. Additionally, a manual search in the major anatomy, dental implant, periodontal and oral surgery journals and books were performed. The publications there selected by including clinical, human anatomy and physiology studies.Results: In total 136 literature sources were obtained and reviewed. Aetiological factors of inferior alveolar nerve injury, risk factors, mechanism, clinical sensory nerve examination methods, clinical symptoms and treatment were discussed. Guidelines were created to illustrate the methods used to prevent and manage inferior alveolar nerve injury before or after dental implant placement.Conclusions: The damage of inferior alveolar nerve during the dental implant placement can be a serious complication. Clinician should recognise and exclude aetiological factors leading to nerve injury. Proper presurgery planning, timely diagnosis and treatment are the key to avoid nerve sensory disturbances management.

  1. A histologic study of the width and nature of inter-radicular spaces in human adult pre-molars and molars.

    Heins, P J; Wieder, S M

    1986-06-01

    Serial sections of jaw segments from a human post mortem population of 29 individuals providing 116 posterior interproximal sites were examined at the light microscopic level. Minimum inter-root distances at the locale of closest proximity ranged from more than 4 mm to less than 0.1 mm. They were located in the coronal third of pre-molars and mandibular first and second molars and the middle third of maxillary first molars and second molar interproximal spaces. Cancellous bone flanked by lamina dura was found between 89.6% of the teeth examined and was observed where inter-root distances exceeded 0.5 mm. At sites of less than 0.5 mm, cancellous bone was not observed, and, instead, adjacent laminae durae appeared fused (7.7%). Bone was not observed between root surfaces which were less than 0.3 mm apart, but in these instances the roots were connected by a periodontal ligament. PMID:3458748

  2. Aneurisma da artria cerebelar ntero-inferior: relato de caso Aneurysm of the anterior inferior cerebellar artery: case report

    Juan Oscar Alarcn Adorno

    2002-12-01

    Full Text Available Os aneurismas intracranianos do sistema vrtebro-basilar representam cerca de 5 a 10% de todos os aneurismas cerebrais. Os aneurismas da artria cerebelar ntero-inferior (AICA so considerados raros, podendo causar sndrome do ngulo ponto cerebelar, com ou sem hemorragia subaracnidea. Desde 1948, foram descritos poucos casos na literatura. Apresentamos o caso de uma paciente, de 33 anos, na qual, aps investigao de quadro de hemorragia subaracnidea, diagnosticou-se aneurisma sacular da AICA esquerda. Foi submetida a clipagem do aneurisma, com timo resultado ps operatrio.The intracranial aneurysms of the posterior circulation have been reported between 5 and 10% of all cerebral aneurysms and the aneurysms of the anterior inferior cerebellar artery (AICA are considered rare, can cause cerebello pontine angle (CPA syndrome with or without subarachnoid hemorrhage. Since 1948 few cases were described in the literature. We report on a 33 year-old female patient with subarachnoid hemorrhage due to sacular aneurysm of the left AICA. She was submitted to clipage of the aneurysm without complications.

  3. Image analysis of the eruptive positions of third molars and adjacent second molars as indicators of age evaluation in Thai patients

    This study was performed to determine the relationship between the stage of tooth eruption (both vertical and mesio-angular) and chronological age. Indirect digital panoramic radiographs were used to measure the distances from the dentinoenamel junction (DEJ) of the second molars to the occlusal plane of the second molar teeth and of the adjacent third molars in 264 Thai males and 437 Thai females using ImageJ software. The ratio of those distances was calculated by patient age, and the correlation coefficient of the ratio of the third molar length to the second molar length was calculated. The correlation between the height of the vertically erupted upper third molar teeth and age was at the intermediate level. The age range of ≥15 to <16 years was noted to be the range in which the correlation between the chronological age determined from the eruptional height and actual chronological age was statistically significant. The mean age of the female subjects, in which the position of the right upper third molar teeth was at or above the DEJ of the adjacent second molar but below one half of its coronal height was 19.9±2.6 years. That for the left side was 20.2±2.7 years. The mean ages of the male subjects were 20.1±3.3 years and 19.8±2.7 years for the right and left sides, respectively. It might be possible to predict chronological age from the eruption height of the wisdom teeth.

  4. Image analysis of the eruptive positions of third molars and adjacent second molars as indicators of age evaluation in Thai patients

    Mahasantipiya, Phattaranant May; Pramojanee, Sakarat; Thaiupathump, Trasapong [Chiang Mai University, Chiang Mai (Thailand)

    2013-12-15

    This study was performed to determine the relationship between the stage of tooth eruption (both vertical and mesio-angular) and chronological age. Indirect digital panoramic radiographs were used to measure the distances from the dentinoenamel junction (DEJ) of the second molars to the occlusal plane of the second molar teeth and of the adjacent third molars in 264 Thai males and 437 Thai females using ImageJ software. The ratio of those distances was calculated by patient age, and the correlation coefficient of the ratio of the third molar length to the second molar length was calculated. The correlation between the height of the vertically erupted upper third molar teeth and age was at the intermediate level. The age range of ≥15 to <16 years was noted to be the range in which the correlation between the chronological age determined from the eruptional height and actual chronological age was statistically significant. The mean age of the female subjects, in which the position of the right upper third molar teeth was at or above the DEJ of the adjacent second molar but below one half of its coronal height was 19.9±2.6 years. That for the left side was 20.2±2.7 years. The mean ages of the male subjects were 20.1±3.3 years and 19.8±2.7 years for the right and left sides, respectively. It might be possible to predict chronological age from the eruption height of the wisdom teeth.

  5. A extração de segundos molares superiores para o tratamento da Classe II Extraction of upper second molars for treatment of Angle Class II malocclusion

    Maurício Barbieri Mezomo

    2010-06-01

    Full Text Available Este trabalho tem por objetivo apresentar uma abordagem alternativa para o tratamento ortodôntico das más oclusões de Classe II. Através de uma revisão da literatura, verificou-se que a extração de segundos molares superiores demonstrou ser uma alternativa viável para o tratamento desse tipo de má oclusão. Essa opção terapêutica possibilita maior rapidez na distalização dos primeiros molares com menor necessidade de cooperação por parte do paciente. Porém, a análise do grau de formação, posição intraóssea e morfologia do terceiro molar deve ser cuidadosamente realizada para proporcionar o correto posicionamento do mesmo no lugar do segundo molar extraído. Dois casos clínicos apresentarão a sequência do diagnóstico e tratamento com essa mecânica, exibindo resultados adequados dos pontos de vista funcional e estético.The purpose of this article is to present an alternative approach to the orthodontic treatment of Angle Class II malocclusion. According to a literature review it was observed that the extraction of upper second molars has proven to be a viable alternative for the treatment of this type of malocclusion. This therapeutic option enables faster first molar retraction and requires less patient compliance. However, the level of development, intraosseous position and morphology of the third molar should be carefully evaluated to ensure its correct positioning in place of the extracted second molar. Two clinical case reports will demonstrate that the sequence of diagnosis and treatment used with this mechanics yields satisfactory functional and aesthetic results.

  6. Molars extraction for bone graft study in rabbits Extração de molares para estudos de enxertos ósseos em coelhos

    José Eduardo Ferreira Manso; Carlos Fernando de Almeida Barros Mourão; Flávio Alexandre Lima Pinheiro; Manoel Luiz Ferreira; Paulo César Silva; Alberto Schanaider

    2011-01-01

    PURPOSE: The aim of this study was to describe an experimental surgical technique to be used in the evaluation of bone grafts in rabbits. METHODS: The operative technique was performed in jaws, with external approach from the labial commissure to the last molar tooth. An incision about 1cm extended forward to the alveolar ridge, followed by a exposing the cervical region of the alveolar bone and dental elements was done. Thus, after extraction of first molar with forceps, the tooth socket lef...

  7. Evaluation of telemedicine systems for impacted third molars diagnosis

    Duka Milo

    2009-01-01

    Full Text Available Background/Aim. In the last twenty years significant advances have been made in the fields of information and telecommunication technology in health care applications, with a positive impact on the health care practice. The need for remote diagnosis and planning of interventions is of special importance in military health care, and health management of immobile persons, and those with special needs. In cases such as these, availability of specialist health care is mainly limited by geographic and financial factors. The aim of this study was to investigate practical usability of telemedicine approaches in everyday management of oral surgery patients in terms of reliability of established diagnosis and indications for oral surgery treatment of the third molars. Methods. Our experimental randomized study enrolled 432 randomly selected patients of both genders, aged 20 to 87 years, undergoing panoramic radiography for some reason in the Centre for Dental Radiography in Belgrade. In addition to radiography, photographs of the face and mouth cavity were taken. These images were uploaded to the web server specially dedicated to the study purposes, and then transmitted to teledentists, i.e. oral surgeons, who made remote diagnoses. Diagnostic agreement was determined by way of the Cohen's kappa coefficient, and diagnostic sensitivity (SE, specificity (SP, and effectiveness (EFF were also established. Statistical significance was determined and comparisons performed by using the z-test, and testing of non-parametric characteristics by using the McNemar's ?2 test for p = 0.05 significance cut-off. Results. The results obtained by analyzed images and diagnostic assessment of the clinical diagnosis (kappa = 0.99, SE = 99%, SP = 99%, EFF = 99%, for 95% CI indicate an almost complete diagnostic agreement. The differences in diagnosis were not statistically significant. Conclusion. Diagnostic assessment of the clinical diagnosis of impacted or semi-impacted third molars assisted by the telemedicine approach was equal to the real-time assessment of clinical diagnosis. Telemedicine, and teledentistry as its branch, represent the present and even more the future of this field of health care.

  8. Sublingual Traumatic Ulcerative Lesions Caused by the Eruption of First Primary Mandibular Molars: a Case Report Lesin Ulcerativa Traumtica Sublingual Causada por la Erupcin del Primer Molar Temporal: Reporte de un Caso

    Cassia Cilene Dezan

    2011-12-01

    Full Text Available Traumatic ulceration of the ventral surface of the tongue is an uncommon condition in infants and toddlers, which is often associated with natal and neonatal teeth in newborns. The aim of this report is to present a case of bilateral ulcerative ulcers on the ventral surface of the tongue caused by the eruption of first primary mandibular molars in a 14-month-old male child. The child was able to point to the lesions and also refused to consume certain beverages and foods, which favored an early diagnosis. Clinical treatment consisted of manual smoothing of the sharp edges of both mandibular first molars and a home regimen of lidocaine hydrochloride solution (Xylocaine, Astra and a steroid solution of triamcinolone acetonide (Omcilon A, Brystol-Myers for symptoms relief and lesion healing, respectively. Complete healing of both lesions and normal feeding were both observed at a one-week follow-up exam. Early detection of the lesions and parental compliance with recommended home regimens were key factors for a successful treatment outcome, since untreated cases of tongue ulcerative lesions may evoke feeding difficulties and failure to thrive. Although there are several reports of ulcerative lesions on the tongue caused by dental eruption, they are usually associated with the eruption of mandibular primary incisors (Riga-Fede disease. However, there are no reports of ulcerative lesions caused by other primary teeth.La ulceracin traumtica de la superficie ventral de la lengua es una condicin poco comn en bebs y nios pequeos, la cual se asocia a menudo con los dientes natales y neonatales en los recin nacidos. El objetivo de este reporte es presentar un caso de lceras bilaterales en la superficie ventral de la lengua causada por la erupcin de los primeros molares mandibulares temporales en un infante de sexo masculino de 14 meses de edad. En nio fue capaz de sealar las lesiones y se neg a consumir ciertas bebidas y alimentos, lo que favoreci un diagnstico precoz. El tratamiento clnico consisti en el suavizado manual de los bordes afilados de los primeros molares inferiores y un rgimen casero de solucin de clorhidrato de lidocana (Xilocana, Astra junto a la solucin esteroidal de acetnido de triamcinolona (Omcilon - A, Brystol-Myers para el alivio de los sntomas y curacin de la lesin respectivamente. La curacin completa de ambas lesiones y la alimentacin normal se observ en una semana del control de seguimiento. La deteccin temprana de las lesiones y el cumplimiento de los padres con los regmenes caseros recomendados, son factores claves para un resultado exitoso del tratamiento, ya que los casos no tratados de estas lesiones ulcerosas pueden provocar dificultades en la alimentacin y una evolucin inadecuada. Aunque existen varios informes de lesiones ulcerosas en la lengua causada por la erupcin dental, que se asocian generalmente con la erupcin de los incisivos mandibulares temporales (enfermedad de Riga-Fede. Sin embargo, no existen informes de lesiones ulcerosas causadas por otros dientes temporales.

  9. THE ANTONINE PLAGUE IN DACIA AND MOESIA INFERIOR

    Drago? Mitrofan

    2014-07-01

    Full Text Available The study of epidemics, especially the ancient ones, has long eluded our scientists. And so, we have tried to use a different approach and different ways of studying the disastrous effects of such an epidemic, in the 2nd century A.D. The goal of this paper is to analyze aspects such as chronology, expansion, and the effects of the disease, and especially, to raise a question about its presence in the roman provinces of Dacia and Moesia Inferior. Whether the presence of a full scale epidemic can be argued, evidence of disturbance can be found by numerous means .In the end, such scientific approach on epidemics can hold valuable clues regarding the rise and fall of civilizations and empires.

  10. Anatomy and radiology of the anterior inferior cerebellar artery

    This study describes the variations of the Anterior Inferior Cerebellar Artery (AICA) and identifies its types of appearance in normal angiograms as well as in angiograms of patients suffering from posterior fossa tumours or from ischemic lesions in the vertebro-basilar territory. For this purpose a study of 20 normal specimens was undertaken. Four main types of the AICA are distinguished. One hundred normal vertebral angiograms, made between 1976 and 1982 in the Valeriuskliniek and the Academisch Ziekenhuis der Vrije Univesiteit are reviewed. The AICA's are classified in the same way as in the anatomical study. The same classification was used in the analysis of 41 vertebral angiograms of patients with posterior fossa tumours and nine angiograms of patients with ischemic disturbances in the posterior cranial fossa. (Auth.)

  11. Inferior vena cava thrombosis: US and CT evaluation

    Forty five patients with inferior vena cava (IVC) thrombosis were studied with the use of ultrasonography (US) and computed tomography (CT). Thirty seven cases were caused by tumor extension and the primary neoplasms were hepatocellular Ca. (26 cases), renal cell Ca. (6 cases), Wilms tumor (1 case), IVC leiomyosarcoma (1 case) and retroperitoneal metastatic tumor (3 cases). Non-tumor thrombus were 8 cases which included 5 cases of Budd-Chiari syndrome and 3 cases of thrombophlebitis. US and CT both were good for the diagnosis of IVC thrombosis. Cranial extension was better demonstrated by US whereas CT yielded better delineation of the lower extension. Even though, differentiation of tumor from non-tumor thrombi by the echogenecity and density of the thrombus was not possible, the findings of adjacent tumor mass, complete obstructive thrombus within dilated lumen with bulging wall, and non tapered acute margin of thrombus made the possibility of tumor thrombus more likely

  12. Inferior vena cava thrombosis: US and CT evaluation

    Cho, On Koo; Choi, Yoon Young; Kim, Yong Soo; Koh, Byung Hee; Seo, Heung Suk [Hanyang Unviersity Hospital, Seoul (Korea, Republic of)

    1993-01-15

    Forty five patients with inferior vena cava (IVC) thrombosis were studied with the use of ultrasonography (US) and computed tomography (CT). Thirty seven cases were caused by tumor extension and the primary neoplasms were hepatocellular Ca. (26 cases), renal cell Ca. (6 cases), Wilms tumor (1 case), IVC leiomyosarcoma (1 case) and retroperitoneal metastatic tumor (3 cases). Non-tumor thrombus were 8 cases which included 5 cases of Budd-Chiari syndrome and 3 cases of thrombophlebitis. US and CT both were good for the diagnosis of IVC thrombosis. Cranial extension was better demonstrated by US whereas CT yielded better delineation of the lower extension. Even though, differentiation of tumor from non-tumor thrombi by the echogenecity and density of the thrombus was not possible, the findings of adjacent tumor mass, complete obstructive thrombus within dilated lumen with bulging wall, and non tapered acute margin of thrombus made the possibility of tumor thrombus more likely.

  13. Endovascular treatment of the posterior inferior cerebellar artery aneurysms

    Bradac, G.B.; Bergui, M. [Neuroradiology, Univ. di Torino, Turin (Italy)

    2004-12-01

    Aneurysms may arise at various locations along the course of the posterior inferior cerebellar artery. Brainstem and cranial nerves manipulation make the surgical approach to proximal aneurysms difficult, while the occlusion of the parent vessel is sometimes unavoidable in peripheral aneurysms. Endovascular treatment can be a good alternative, but also with this approach the location of the aneurysm is critical. If occlusion of the parent vessel is planned, anatomical variations and vascular territories of the brainstem should be considered. We report our experience with 18 consecutive aneurysms (12 proximal, 6 peripheral) treated by coils. Complete occlusion was achieved in 14 patients and subtotal in 4. In three patients the parent vessel had to be sacrificed. During treatment two perforations occurred; aneurysms were completely occluded without clinical consequences. Two small asymptomatic cerebellar infarctions were seen on postoperative computed tomography. Clinical outcome was good in 16 patients. (orig.)

  14. Frustrative reward omission increases aggressive behaviour of inferior fighters

    Vindas, Marco A.; Johansen, Ida B.; Vela-Avitua, Sergio; Sletbak Nørstrud, Karoline; Aalgaard, Marion; Braastad, Bjarne O; Höglund, Erik; Øverli, Øyvind

    2014-01-01

    Animals use aggressive behaviour to gain access to resources, and individuals adjust their behaviour relative to resource value and own resource holding potential (RHP). Normally, smaller individuals have inferior fighting abilities compared with larger conspecifics. Affective and cognitive...... to associate a light with reward. Thereafter, the reward was omitted for half of the fish prior to a contest between individuals possessing a 36–40% difference in RHP. Small control individuals displayed submissive behaviour and virtually no aggression. By contrast, small OER individuals were more...... aggressive, and twoout of 11 became socially dominant. Increased aggression insmall OER individuals was accompanied by increased serotonin levels in the dorsomedial pallium (proposed amygdala homologue), but no changes in limbic dopamine neurochemistry were observed in OER-exposed individuals. The...

  15. Evidence of Mirror Neurons in Human Inferior Frontal Gyrus

    Kilner, James M.; Neal, Alice; Weiskopf, Nikolaus; Friston, Karl J.; Frith, Chris D.

    2009-01-01

    There is much current debate about the existence of mirror neurons in humans. To identify mirror neurons in the inferior frontal gyrus (IFG) of humans we employed a repetition suppression paradigm while measuring neural activity with functional magnetic resonance imaging. Subjects either executed or observed a series of actions. Here we show that in the IFG, responses were suppressed both when an executed action was followed by the same rather than a different observed action and when an observed action was followed by the same rather than a different executed action. This pattern of responses is consistent with that predicted by mirror neurons and is evidence of mirror neurons in the human IFG. PMID:19675249

  16. Percutaneous placement of bird's nest inferior vena cava filter

    To describe clinical experiences of the use of Bird's Nest inferior vena cava(IVC) filter. Between August 1991 and August 1997, IVC filter was percutaneously inserted in 51 patients with pulmonary embolism(PE) and deep vein thrombosis of the lower extremities. Indications for the placement of this filter were contraindication to anticoagulation in 17 patients, prophylaxis of PE in 17, failed anticoagulation in 11, massive PE with residual floating thrombus in three and complications involving anticoagulation in 3. In order to delineate the location of renal vein and extension of deep vein thrombosis into the IVC, all patients under went inferior vena cavography before filter placement. Thirty filters were inserted through the right femoral vein, 19 through the right internal jugular vein and three through the left femoral vein. The patients involved were followed up for periods ranging from one week to six years (mean 10 months). A Bird's Nest IVC filter was placed in the infrarenal IVC in 44 patients and in the suprarenal IVC in 7. Certain complicatioins ensued. IVC penetration occurred in three patients(5.9%), and in seven(1.37%) the filter wire prolapsed. Except for transient pain, however, there were no serious IVC penetration-related complications and no evidence of recurrence of PE in the cases involving prolapse of the filter wire. During follow up, clinically suspected recurrent PE was noted in two patients(3.9%), but there was no evidence of newly developed occlusion of the IVC. In patients who under went follow up, Bird's Nest IVC filter effectively prevented the development and recurrence of PE, and there were no complications. To prevent of penetration of the IVC and prolapse of the filter, however, technical skill was needed

  17. Management of early loss of first permanent molar: a new technique.

    Rajashekhara, B S; Keyur, J M; Bhavna, D; Poonacha, K S

    2012-01-01

    The loss of a permanent first molar in adolescent patient creates a need for early space maintenance and restoration of function. To ascertain function and esthetics, immediate treatments include interim restorative approaches. This paper describes a conservative, functional and cost-effective bridge as an interim restoration after the loss of permanent first molar in an early adolescent dentition. PMID:23514691

  18. Management of early loss of first permanent molar: A new technique

    B S Rajashekhara

    2012-01-01

    Full Text Available The loss of a permanent first molar in adolescent patient creates a need for early space maintenance and restoration of function. To ascertain function and esthetics, immediate treatments include interim restorative approaches. This paper describes a conservative, functional and cost-effective bridge as an interim restoration after the loss of permanent first molar in an early adolescent dentition.

  19. Clinical study of the lower third molars eruption level influence on incidence of acute infection

    Matijevi? Stevo

    2005-01-01

    Full Text Available The aim of this paper was estimate if there was correlation between clinically and radiographically evaluated eruption level of the lower third molar and incidence and severity of the acute infection, respectively. Methods and material: The study was conducted in 100 male examinees, age range from 18 to 25 years old, with clinical and radiographic diagnosis of partially erupted or non erupted third molars. Results: Total number of examinees with clinically registered partially erupted lower third molars was 75, of which 62 (82.6% manifested infection. Non erupted third molars were in 25 examinees of which 11 (44% had signs of infection. Partial eruption stage of the third molar was the most common cause of the light infection form (68.8%. Infective complications in over 60% of examinees were related to higher levels of teeth eruption. Higher eruption positions of lower third molars were causing light infections in 56.1%, and in 31.5% - severe forms of infection. Most frequently, lower third molar was related to occurrence and severity of the infection when positioned in occlusal plane level. Conclusion: Partially erupted lower third molar, when positioned in occlusal plane level, is the high risk tooth for an infection to occur.

  20. Functional approach to a Class II patient with upper first molar impaction

    Giacomo D′Orlandi

    2014-01-01

    Full Text Available The lack of the left first molar maxillary and the left second molar maxillary, caused respectively by impaction and agenesis is a very rare case, which determines an important occlusal imbalance and asymmetrical mandible movement. A gnatologic and functional orthodontic approach were planned to improve the retrognathic mandible and the muscular activity using kinesiograph and electromyography.

  1. Extraoral vs intraoral appliance for distal movement of maxillary first molars: a randomized controlled trial.

    Bondemark, Lars; Karlsson, Ingela

    2005-09-01

    Using randomized controlled trial methodology, the aim of this study was to evaluate and compare the treatment effects of an extraoral appliance (EOA) and an intraoral appliance (IOA) for distal movement of maxillary first molars. A total of 40 patients (mean 11.5 years, SD 1.29) at the Orthodontic Clinic, National Health Service, Skane County Council, Malm, Sweden, were randomized to receive treatment with either extraoral traction (cervical headgear) or an IOA using superelastic coils for distal movement of maxillary first molars. The inclusion criteria were a nonextraction treatment plan, a Class II molar relationship and maxillary first molars in occlusion with no erupted maxillary second molars. The outcome measures to be assessed in the trial were treatment time, cephalometric analysis of distal molar movement, anterior movement of maxillary central incisors, ie, anchorage loss and sagittal and vertical skeletal positional changes of the maxilla and mandible. In the IOA group, the molars were distalized during an average time of 5.2 months, whereas in the EOA group the corresponding time was 6.4 months (P anchorage loss was produced with the IOA implying increased overjet (0.9 mm) whereas the EOA created decreased overjet (0.9 mm). It can be concluded that the IOA was more effective than the EOA to create distal movement of the maxillary first molars. PMID:16279817

  2. Incidence of impacted mandibular third molars in population of Bosnia and Herzegovina: a retrospective radiographic study

    Sadeta Šečić

    2013-09-01

    Full Text Available Introduction: Impaction may be defined as the failure of complete eruption into a normal functional position of one tooth within normal time due to lack of space in the dental arch, caused by obstruction byanother tooth or development in an abnormal position. The mandibular third molar is the most frequently impacted tooth. The incidence varies from 9.5% to 68% in different populations.Methods: The study was conducted in Department of Oral Surgery, Faculty of Dentistry, University in Sarajevo. Study represents retrospective analysis of panoramic radiographs (orthopantomograms of patientsreferred to Department of Oral Surgery from January 2010 to February 2013 with indication for surgical removal of impacted third molars.Results: Of the 2000 radiographs, 761 presented with at least one impacted third molar (38%. A total of 1034 impacted mandibular third molars were present (51.7%. The most common age group was thirddecade (61.2%. Signifi cant statistical difference in incidence of third molar impaction was found between females and males (ppopulation (p=0.374. Vertical angulation was the most common pattern of impaction (65%. Frequency of third molars erupted into their normal position (class IA was 42%. Impacted mandibular molars wereassociated with periodontal pockets in 134 (6.5% cases and with dentigerous cysts in 5 cases (0.2%.Conclusion: The present study provides useful data regarding the clinical status of third molars in population of Bosnia and Herzegovina.

  3. NLRP7 or KHDC3L genes and the etiology of molar pregnancies and recurrent miscarriage

    Andreasen, L; Christiansen, O B; Niemann, I; Bolund, L; Sunde, Lone

    2013-01-01

    investigated the association between molar pregnancy and recurrent miscarriages regarding changes in the NLRP7 and C6orf221/KHDC3L genes. Our study group can be divided into three sub-cohorts: (i) women having had at least one molar pregnancy and at least two non-mole miscarriages, (ii) women having had...

  4. Ab initio calculations of partial molar properties in the single-site approximation

    Ruban, Andrei; Skriver, Hans Lomholt

    1997-01-01

    We discuss the application of the single-site approximation in calculations of partial molar quantities, e.g., impurity solution energy, segregation energy, and effective chemical potential, which are related to a variation of the composition of an alloy or its nonequivalent parts. We demonstrate...... accurate when properly applied in calculations of partial molar quantities....

  5. Micro-CT analyses of apical enlargement and molar root canal complexity

    Markvart, Merete; Darvann, Tron Andre; Larsen, Per; Dalstra, Michel; Kreiborg, Sven; Bjørndal, Lars

    2012-01-01

    AIM: To compare the effectiveness of two rotary hybrid instrumentation techniques with focus on apical enlargement in molar teeth and to quantify and visualize spatial details of instrumentation efficacy in root canals of different complexity. METHODOLOGY: Maxillary and mandibular molar teeth wer...

  6. Molar intrusion in the management of anterior openbite and 'high angle' Class II malocclusions.

    Cousley, Richard R J

    2014-09-01

    Orthodontic correction of anterior openbite has conventionally involved extraction therapy or an adjunctive maxillary impaction osteotomy. However, bone anchored molar intrusion treatments have been reported in recent years as a less invasive alternative for such patients. This paper describes the concepts and treatment processes involved with mini-implant molar intrusion to correct anterior openbite and reduce patients' excessive vertical facial proportions. PMID:25138365

  7. Rare Occurrence of Inverted Maxillary Third Molar Impaction: A Case Report

    Togoo, Rafi Ahmad

    2013-01-01

    Inverted third molar impaction is a rare occurrence. Very few cases have been reported in the literature till date. We report an interesting and a rare case of inverted maxillary third molar impaction in a 33 year old male patient. This case report would add to the academic literature and case series of inverted maxillary tooth impactions.

  8. Factors affecting root curvature of mandibular first molar

    To find the cause of root curvature by use of panoramic and lateral cephalometric radiograph. Twenty six 1st graders whose mandibular 1st molars just emerged into the mouth were selected. Panoramic and lateral cephalometric radiograph were taken at grade 1 and 6, longitudinally. In cephalometric radio graph, mandibular plane angle, ramus-occlusal place angle, gonial angle, and gonion-gnathion distance(Go-Gn distance) were measured. In panoramic radiograph, elongated root length and root angle were measured by means of digital subtraction radiography. Occlusal plane-tooth axis angle was measured, too. Pearson correlations were used to evaluate the relationships between root curvature and elongated length and longitudinal variations of all variables. Multiple regression equation using related variables was computed. The pearson correlation coefficient between curved angle and longitudinal variations of occlusal plane-tooth axis angle and ramus-occlusal plane angle was 0.350 and 0.401, respectively (p1+0.745X2(Y: root angle, X1: variation of occlusal plane-tooth axis angle, X2: variation of ramus-occlusal plane angle). It was suspected that the reasons of root curvature were change of tooth axis caused by contact with 2nd deciduous tooth and amount of mesial and superior movement related to change of occlusal plane

  9. Experience versus complication rate in third molar surgery

    Al-Khawalde Mohammed

    2006-05-01

    Full Text Available Abstract Objectives The records of 1087 patients who underwent surgical removal of third molar teeth were prospectively examined to analyse the possible relationship between postoperative complications and the surgeon's experience parameter. Method and materials Seven surgeons (three specialists in surgical dentistry [specialists SD] and four oral and maxillofacial Senior House Officers [OMFS residents] carried out the surgical procedures. For each patient, several variables were recorded including age, gender, radiographic position of extracted teeth, treating surgeon, duration of surgery and postoperative complications. Results Analysis of the data revealed some differences in the incidence of complications produced by the specialists SD and OMFS residents. The main statistically relevant differences were increase the incidences of trismus, nerve paraesthesia, alveolar osteitis and infection in the resident-treated group, while the specialist-treated group showed higher rates of post-operative bleeding. Conclusion The higher rate of postoperative complications in the resident-treated group suggests that at least some of the complications might be related to surgical experience. Further work needs to compare specialists of training programmes with different years of experience, using large cross – sectional studies.

  10. Molar crown inner structural organization in Javanese Homo erectus.

    Zanolli, Clément

    2015-01-01

    This contribution investigates the inner organizational pattern (tooth tissue proportions and enamel-dentine junction morphology) of seven Homo erectus permanent molar crowns from the late Lower-early Middle Pleistocene Kabuh Formation of the Sangiran Dome (Central Java, Indonesia). The previous study of their external characteristics confirmed the degree of time-related structural reduction occurred in Javanese H. erectus, and also revealed a combination of nonmetric features which are rare in the Lower and early Middle Pleistocene dental record, but more frequently found in recent humans. In accordance with their outer occlusal morphology, the specimens exhibit a set of derived internal features, such as thick to hyperthick enamel, an incomplete expression of the crest patterns at the enamel-dentine junction (EDJ) level, a sharp EDJ topography. As a whole, these features differ from those expressed in some penecontemporaneous specimens/samples representing African H. erectus/ergaster and H. heidelbergensis, as well as in Neanderthals, but occur in recent human populations. Further research in virtual dental paleoanthropology to be developed at macroregional scale would clarify the polarity and intensity of the intermittent exchanges between continental and insular Southeast Asia around the Lower to Middle Pleistocene boundary, as well as should shed light on the still poorly understood longitudinal evolutionary dynamics across continental Asia. PMID:25209431

  11. Management of middle mesial canal in mandibular second molar

    J V Karunakaran

    2012-01-01

    Full Text Available The primary objective of endodontic therapy is to achieve a three-dimensional obturation of the root canal space after adequate preparation of the canal space to remove the tissue debris, microorganisms, and their byproducts. Anatomical variations have frequently been encountered in endodontic practice and have to be adequately managed by the clinician. Missed roots and canals are a major reason for failure of therapy. Technological advances have given the clinician ample opportunity to identify and treat these aberrations successfully. The present report describes a left mandibular second permanent molar requiring root canal treatment, found to have three separate canals in the mesial root. This case demonstrates a rare anatomical configuration and emphasizes the need for the clinician to be aware of and look out for such variations and use adequate diagnostic methodologies prior to and during therapy to detect such variations. The possibility of additional canals, whenever in doubt, should be explored with the assistance of technologies such as those of magnification and illumination and various diagnostic aids. Operator experience has also shown to be a key factor in negotiation and management of these aberrant canal configurations.

  12. Computed tomographic anatomy of the mandibular first and second molars and their surrounding structures in the spread of odontogenic infection

    The purposes of this study were to analyze the CT anatomy of the mandibular first and second molars in uninfected subjects and to clarify the pathway of odontogenic infection originating from the mandibular first and second molars. CT anatomies, especially for bucco-lingual aspects and the surrounding soft tissues, were investigated in 100 uninfected subjects and 17 infected patients. At the level of bifurcation, disappearance of the cortical plates was frequently observed on the buccal and lingual sides of the first molars, and it was reduced on the buccal side in the second molar. In the first molar, the bony width was thinner on the buccal than the lingual side. The lingual cortices were thinner in the second molar. All medial pterygoid and 88% of masseter muscles were situated posteriorly, without horizontally overlapping the second molar, whereas the mylohyoid muscle (MhM) overlapped horizontally with the first and second molars. The MhM was positioned superior to the root apices in 10 and 39% of first and second molars, respectively. All patients with first molar infection showed involvement of buccal structures, and one showed lingual side involvement. In contrast, six of nine patients with second molar infection showed involvement on the lingual side. Infection originating from the second molar was more likely to spread to the lingual side than infection originating from the first molar. CT anatomy surrounding the causal teeth supported the spread pathways of mandibular first and second molar infection. (author)

  13. Forças de mordida relacionadas a próteses parciais removíveis inferiores Biting forces related to partially removable mandibular dentures

    Eduardo Piza PELLIZZER

    1998-10-01

    Full Text Available A pesquisa teve como objetivo determinar as forças de mordida de 73 indivíduos, por meio de um gnatodinamômetro. Os pacientes eram portadores de próteses parciais removíveis inferiores classes I, II ou III. A arcada antagonista era prótese, parcial removível ou fixa, ou total. Os resultados permitiram concluir que: as selas de extremidade livre, principalmente em suas posições extremas, conduziram a forças de mordida muito baixas; o envolvimento de prótese total, também, conduziu a forças de mordida baixas; o sexo masculino alcançou valores maiores que o feminino; com prótese parcial removível classe III, os dentes naturais molares e pré-molares desenvolveram valores maiores do que com classes I e II.The purpose of this study was to determine the biting forces of individuals wearing classes I, II or III partially removable mandibular dentures. Upper jaws presented fixed bridges, classes I, II or III partially removable dentures, or complete dentures. Measurements of biting forces were obtained by a gnathodynamometer. The conclusions were: classes I and II presented low biting forces, specially far from the last abutment tooth; when the opposite arcade was a complete denture, biting forces were low; males presented higher biting forces than females; natural molars and bicuspids presented higher biting forces with class III than with classes I or II.

  14. INFERIORITY COMPLEX AND ASSERTIVENESS AMONG UG STUDENTS STUDIED IN ENGLISH th AND VERNACULAR LANGUAGE IN 12 STANDARD.

    S. Shalini

    2014-01-01

    The present paper focused on the aspects of inferiority complex and assertiveness among students .By participating in student life, students realize their abilities and creativity. But some students develop inferiority complex in their life. The problem of Inferiority complex among adolescents is becoming increasingly alarming. Teenage years are the prime years of bearing the burden of inferiority feelings. This study was done to assess the inferiority complex ( measured b...

  15. Electrocardiographic estimation of successful ablation site in patients with manifest inferior paraseptal accessory pathway.

    Kabul, Hasan Kutsi; Ulus, Taner; Barcın, Cem; Unlu, Murat; Samedli, Samed; Kose, Sedat

    2016-01-01

    Inferior paraseptal accessory pathways (APs) have a wide distribution and prediction of AP location before radiofrequency ablation is very important in such pathways. We aimed to estimate successful ablation site based on electrocardiogram in 137 patients (mean age: 25.8±9.0; 126 males) with single manifest inferior paraseptal AP. Right endocardial inferior paraseptal APs were discriminated from left endocardial APs with an R/S ratio AVR (pAVR and V1, and R/S ratios in leads II and V1 estimate epicardial inferior paraseptal APs. PMID:26852930

  16. Spiral CT in aplasia of the pre-renal inferior vena cava as a cause of phlebothrombosis from the femoral veins to the inferior vena cava; Spiral-CT einer Aplasie der praerenalen Vena cava inferior als Ursache einer Phlebothrombose von den Oberschenkelvenen bis in die Vena cava inferior

    Schweiger, U. [Strahlenklinik und Poliklinik, Universitaetsklinikum Rudolf Virchow, Freie Univ. Berlin (Germany); Schedel, H. [Strahlenklinik und Poliklinik, Universitaetsklinikum Rudolf Virchow, Freie Univ. Berlin (Germany); Thiede, U. [Deutsches Herzzentrum Berlin (Germany). Arbeitsgruppe Digitale Bildbearbeitung; Felix, R. [Strahlenklinik und Poliklinik, Universitaetsklinikum Rudolf Virchow, Freie Univ. Berlin (Germany)

    1994-12-31

    The case report focuses on the computed tomography of the thrombotic okklusion of the inferior vena cava, venae iliacae and femorales communes due to congenital interruption of the prerenal inferior vena cava. The embryology of the abnormality was discussed. (orig.) [Deutsch] Anhand einer Fallstudie wurden die Moeglichkeiten der computertomographischen Diagnostik bei einer durch Teilplasie der `praerenalen` Vena cava inferior hervorgerufenen Thrombose der Vv. femorales superficiales et profundae, der grossen Beckenvenen und der Vena cava inferior erlaeutert. In der Diskussion wurde auf die Embryologie der Missbildung eingegangen. (orig.)

  17. Excess molar enthalpies for binary mixtures of different amines with water

    Highlights: • Isothermal excess molar enthalpies for binary mixtures of different amines with water. • The Redlich–Kister equation and the NRTL model was used to fit the experimental data. • The excess molar enthalpies were discussed with different structures of amines. - Abstract: The isothermal excess molar enthalpies for binary mixtures of different amines with water were measured with a C-80 Setaram calorimeter. The experimental results indicate that the excess molar enthalpy is related to the molecular structure. The experimental excess molar enthalpies were satisfactorily fitted with the Redlich–Kister equation. They were also used to test the suitability of the NRTL model, and the deviations are a little larger than the R–K equation

  18. Endodontic treatment of a maxillary second molar with developmental anomaly: a case report.

    Asgary, Saeed

    2007-01-01

    Fusion is a rare occurrence in molar teeth. The purpose of this rare case presentation is to describe the nonsurgical endodontic treatment of maxillary molar. A 28-year-old patient was referred for endodontic treatment of her chronic apical abscess of right maxillary second molar. In the clinical examination, a sinus tract adjacent to involved tooth and a small crown of supernumerary tooth fused to the buccal surface of the molar at gingival margin was observed. Endodontic treatment was decided for the involved molar for functional reason. Recall examination, ayear after completion of endodontic and restorative treatments, showed the tooth was clinically asymptomatic and there was no radiographic lucency around the apical region. PMID:24327819

  19. Avaliao da quantidade de movimentao dos molares superiores com emprego do aparelho de Herbst Assessment of the displacement of the upper molars using the Herbst appliance

    Paulo Cezar Rodrigues Ogeda

    2004-08-01

    Full Text Available O Herbst um aparelho ortopdico funcional fixo destinado principalmente ao estmulo de crescimento mandibular durante a correo da m ocluso de Classe II esqueltica de pacientes em crescimento. Vrias publicaes descreveram os efeitos deste aparelho durante a correo da Classe II, revelando a promoo de alteraes esquelticas e dentrias em igual proporo, favorecendo sua correo. Parte do movimento dentrio ocorre por distalizao dos primeiros molares superiores. Esta pesquisa teve como objetivo avaliar a quantidade e o tipo de movimento distal ocorrido com os primeiros molares superiores permanentes, e a conseqncia destes movimentos sobre o plano oclusal funcional durante o perodo de utilizao do aparelho de Herbst. A amostra foi composta de 22 pacientes portadores da m ocluso de classe II esqueltica, retrognatismo mandibular, com idade mdia de 12 anos e 11 meses, tratados por um perodo mdio de 10,1 meses. Os aparelhos foram construdos utilizando a ancoragem total no arco maxilar, visando potencializar a ao ortopdica e minimizar a perda de ancoragem. As alteraes foram medidas em cefalogramas especficos obtidos das telerradiografias em norma lateral tomadas em dois tempos: tempo 1 (T1 antes da instalao do aparelho, e tempo 2 (T2, aps sua remoo. Medidas cefalomtricas lineares e angulares em relao ao plano horizontal de Frankfurt, plano palatino e a uma linha vertical de referncia a partir do ponto S perpendicular a Frankfurt, foram utilizadas para quantificar os deslocamentos dos primeiros molares superiores. Foram avaliados: o deslocamento distal mdio das coroas, o deslocamento distal mdio de suas razes, a conseqente inclinao no longo eixo dos molares durante a distalizao, o deslocamento vertical em relao ao plano palatino, e finalmente, a conseqncia da variao vertical do primeiro molar sobre o plano oclusal funcional. Os mostraram distalizao molar em todos os casos, em mdia a distalizao das coroas foi de 1,6 mm e a distalizao de razes, mdia 1,1 mm. A intruso mdia foi de 0,8 mm em relao ao plano palatino, com a inclinao distal mdia dos molares de 2,6, alteraes significante estatisticamente. O plano oclusal apresentou inclinao no sentido horrio em relao ao plano horizontal de Frankfurt de 2,5, em mdia. Concluimos que o aparelho de Herbst capaz de promover distalizao e intruso dos primeiros molares superiores.The Herbst appliance is an orthopedic fixed device for treatment of class II malocclusion mainly directed to mandibular growth stimulation in growing patients. Several papers have described its effects during the Class II correction, showing its dental and skeletic action occuring in the same proportion. Part of the dental movement is upper molar distalization. This search had the objective of assessing the kind and amount of first upper molar movement using the Herbst appliance. The sample was composed by 22 skeletal Class II young patients, mean age 12 years 11 months, treated during a period of 10,1 month. The Herbst was constructed using the total anchorage method on the maxillary arch. Lateral cephalometric analysis was used joining linear and angular mesurements in two ocasions: T1, before tretment, and T2 after the appliance had been removed. The refference lines used to compare the points located in the upper molar were the horizontal Frankfurt an S perpendicular throw Frankfurt. The results showed significant distal movement of the molar crown and root while the oclusal surface was intruded in comparing to palatal plane. In consequence the occlusal plane rotated in relation to Frankfurt. Our conclusion is that the Herbst appliance is able to promote molar distalization and molar intrusion on the upper arch.

  20. Distal posterior inferior cerebellar artery aneurysm: case report Aneurisma da artria cerebelar posterior e inferior distal: relato de caso

    Ricardo Ramina

    2005-06-01

    Full Text Available The majority of posterior inferior cerebellar artery (PICA aneurysms are usually found on the bifurcation of the vertebral artery (VA - PICA junction. Aneurysms arising from more peripheral PICA segments named distal PICA aneurysm are uncommon. The major clinical manifestation is that of an intracranial bleeding and the site of hemorrhage is related to the PICA segment originating the aneurysm. Lesions originating from distal PICA segments, particularly those arising from the telovelotonsillar segment, are associated with hemorrhage extending into the ventricular system, mainly the IV ventricle. A case of a 50-year-old woman with sudden headaches and vomiting, and intraventricular hemorrhage (four ventricles caused by an aneurysm of the telovelotonsillar segment of the PICA, is presented. No signs of subarachnoidal hemorrhage were found in the computerized tomography. The aneurysm was clipped and the patient presented a favorable outcome. Anatomical aspects and clinical series are reviewed.A maioria dos aneurismas da artria cerebelar posterior inferior (PICA geralmente encontrada na juno artria vertebral (VA - PICA. Aneurismas originando-se nos segmentos mais distais da PICA so considerados raros. A manifestao clnica em geral por hemorragia intracraniana, e o local desta est relacionado ao segmento que origina o aneurisma. Leses localizadas em segmentos mais distais da PICA, em especial os originados do segmento telovelotonsilar, esto associados a hemorragias no sistema ventricular, particularmente no quarto ventrculo. Relatamos o caso de mulher de 50 anos de idade que desenvolveu quadro de cefalia sbita e vmitos, com hemorragia nos quatro ventrculos, causada por ruptura de aneurisma localizado no segmento telovelotonsilar da PICA. No havia sinais de hemorragia subaracnidea na tomografia computadorizada de crnio. O aneurisma foi clipado e a paciente apresentou evoluo favorvel. Aspectos anatmicos e outras sries so revisados.

  1. Enamel thickness and the helicoidal wear plane in modern human mandibular molars.

    Schwartz, G T

    2000-05-01

    Helicoid occlusion has long been recognized as a feature characterizing the human dentition and has been viewed as an important morphological marker in the transition from Australopithecus to Homo. The hallmark of helicoidal wear is a buccal wear slope in anterior mandibular molars (and a corresponding lingual slope of wear in anterior maxillary molars) reversing to a flat or lingual-oriented one in posterior mandibular molars. If localized increases in enamel thickness are taken as evidence of an adaptation to increased wear resistance, then data on enamel thickness in unworn molars can be used to assess whether the region of greatest wear changes from anterior to posterior in such a way as to provide evidence for the helicoidal wear plane being a structural feature of the orofacial skeleton. Such a hypothesis was supported in a previous study on enamel thickness in modern human maxillary molars. As maxillary and mandibular precisely interdigitate, it is reasonable to expect that a similar pattern of enamel thickness distribution should be present in mandibular molars. To test this, data on the distribution of enamel thickness across functionally relevant regions of the crown were collected on a sample of twenty-nine completely unworn mandibular molars. Results suggest that enamel thickness increases slightly posteriorly but no evidence exists for morphological changes along the mandibular molar series of modern humans to follow a trend towards providing additional tooth material in areas under greater wear in accordance with a helicoidal wear model. This suggests that the patterning of enamel thickness must be viewed in conjunction with other features, such as the biomechanical behaviour of molars during occlusion and axial molar angulation, to ascertain the precise anatomical determinants of this unique feature of the human dentition. PMID:10739861

  2. A combined experimental and computational investigation of excess molar enthalpies of (nitrobenzene + alkanol) mixtures

    Highlights: • Excess molar enthalpies for the binary mixtures of nitrobenzene + alkanols mixtures were measured. • The infinite dilution excess partial molar enthalpies were calculated using the ab initio methods. • The PCM calculations were performed. • The computed excess partial molar enthalpies at infinite dilution were compared to experimental results. - Abstract: Excess molar enthalpies (HmE) for the binary mixtures of {(nitrobenzene + ethanol), 1-propanol, 2-propanol, 1-butanol and 2-butanol} have been measured over the entire composition range at ambient pressure (81.5 kPa) and temperature 298 K using a Parr 1455 solution calorimeter. From the experimental results, the excess partial molar enthalpies (HiE) and excess partial molar enthalpies at infinite dilution (HiE,∞) were calculated. The excess molar enthalpies (HmE) are positive for all {nitrobenzene (1) + alkanol (2)} mixtures over the entire composition range. A state-of-the-art computational strategy for the evaluation of excess partial molar enthalpies at infinite dilution was followed at the M05-2X/6-311++G∗∗ level of theory with the PCM model. The experimental excess partial molar enthalpies at infinite dilution have been compared to the computational data of the ab initio in liquid phase. Integrated experimental and computational results help to clarify the nature of the intermolecular interactions in {nitrobenzene (1) + alkanol (2)} mixtures. The experimental and computational work which was done in this study complements and extends the general research on the computation of excess partial molar enthalpy at infinite dilution of binary mixtures

  3. Partial molar volume and partial molar compressibility of four homologous α-amino acids in aqueous sodium fluoride solutions at different temperatures

    Research highlights: → Partial molar volume indicates strong solute-cosolute interaction in the NaF solution. → Partial molar compressibility results compliment partial molar volume results. → Hydration number proves that sodium fluoride has dehydration effect on amino acids. → Interactions between sodium fluoride and (NH3+,COO-) group of amino acid are stronger. - Abstract: Density and ultrasonic speed of four amino acids (glycine, L-alanine, L-valine, and L-leucine) in aqueous sodium fluoride solutions {(0.1 to 0.5) M} have been measured at T = (308.15, 313.15, and 318.15) K. Apparent molar volumes (Vφ), partial molar volumes (Vφ0), transfer volumes (ΔVφ0) and hydration number (nH) are evaluated using density data. Adiabatic compressibility (βs), change (Δβs), and relative change in compressibility (Δβs/β0), apparent molar compressibility (Kφ), partial molar compressibility (Kφ0), transfer compressibility (ΔKφ0), and hydration number (nH) have been calculated using ultrasonic speed data. The linear correlation of Vφ0,ΔVφ0,Kφ0 and ΔKφ0 for a homologous series of amino acids have been used utilised to calculate the contribution of charged end groups (NH3+, COO-), CH2 group and other alkyl chain of the amino acids. The analysis shows that the ion-ion interactions are much stronger than ion-hydrophobic interactions over the entire concentration range of sodium fluoride. It is observed that sodium fluoride has a strong dehydration effect on amino acids.

  4. Leiomioma benigno metastatizante de veia cava inferior: rara complicação tardia de histerectomia Benign metastasizing leiomyoma of inferior vena cava: a rare condition following hysterectomy

    Marcos Filgueiras

    2008-08-01

    Full Text Available Large vessel tumors diagnosis is usually difficult. Benign metastasizing leiomyoma is a rare condition occurring inside peripheral vessels. There are few publications about this tumor inside inferior vena cava. A 54 years old female patient is presented with a previous hysterectomy for myomas. She complained of no specific symptoms 18 months after surgery. Computer tomography revealed a 7.5 x 3.5 x 4.0 cm mass at inferior vena cava and right psoas muscle. After surgical management and immunohistochemical screening biopsy, the diagnosis was benign metastasizing leiomyoma of inferior vena cava. The patient recovery was uneventful. Benign metastasizing leiomyoma of inferior vena cava is a very rare condition, and must be suspected in patients with primary leiomyosarcoma, especially in women previously submitted to hysterectomy for leiomyomatosis.

  5. Complex cellular responses to tooth wear in rodent molar.

    Mahdee, A; Alhelal, A; Eastham, J; Whitworth, J; Gillespie, J I

    2016-01-01

    The arrangement and roles of the odontoblast and its process in sensing and responding to injuries such as tooth wear are incompletely understood. Evidence is presented that dentine exposure by tooth wear triggers structural and functional changes that aim to maintain tooth integrity. Mandibular first molars from freshly culled 8 week Wistar rats were prepared for light microscopy ground-sections (n=6), or fixed in 4% paraformaldehyde, decalcified in 17% EDTA, sectioned and stained with antibodies to cyto-skeletal proteins (vimentin (vim), α-tubulin (tub) and α-actin), cellular homeostatic elements (sodium potassium ATPase (NaK-ATPase) and sodium hydrogen exchanger (NHE-1)), and sensory nerve fibres (CGRP) (n=10) for fluorescence microscopy of worn and unworn regions of the mesial cusp. Immunoreactivity (IR) to vim, actin, NaK-ATPase and CGRP was confined to the pulpal third of odontoblast processes (OPs). IR to tub and nhe-1 was expressed by OPs in full dentine thickness. In areas associated with dentine exposure, the tubules contained no OPs. In regions with intact dentine, odontoblasts were arranged in a single cell layer and easily distinguished from the sub-odontoblast cells. In regions with open tubules, the odontoblasts were in stratified or pseudo-stratified in arrangement. Differences in structural antibody expression suggest a previously unreported heterogeneity of the odontoblast population and variations in different regions of the OP. This combined with differences in OPs extension and pulp cellular arrangement in worn and unworn regions suggests active and dynamic cellular responses to the opening of dentinal tubules by tooth wear. PMID:26547699

  6. Factors affecting root curvature of mandibular first molar

    Choi, Hang Moon [Kangnung National University, Kangnung (Korea, Republic of); Yi, Won Jin; Heo, Min Suk; Kim, Jung Hwa; Choi, Soon Chul; Park, Tae Won [Seoul National Univ., Seoul (Korea, Republic of)

    2006-03-15

    To find the cause of root curvature by use of panoramic and lateral cephalometric radiograph. Twenty six 1st graders whose mandibular 1st molars just emerged into the mouth were selected. Panoramic and lateral cephalometric radiograph were taken at grade 1 and 6, longitudinally. In cephalometric radio graph, mandibular plane angle, ramus-occlusal place angle, gonial angle, and gonion-gnathion distance(Go-Gn distance) were measured. In panoramic radiograph, elongated root length and root angle were measured by means of digital subtraction radiography. Occlusal plane-tooth axis angle was measured, too. Pearson correlations were used to evaluate the relationships between root curvature and elongated length and longitudinal variations of all variables. Multiple regression equation using related variables was computed. The pearson correlation coefficient between curved angle and longitudinal variations of occlusal plane-tooth axis angle and ramus-occlusal plane angle was 0.350 and 0.401, respectively (p<0.05). There was no significant correlation between elongated root length and longitudinal variations of all variables. The resulting regression equation was Y=10.209+0.208X{sub 1}+0.745X{sub 2}(Y: root angle, X{sub 1}: variation of occlusal plane-tooth axis angle, X{sub 2}: variation of ramus-occlusal plane angle). It was suspected that the reasons of root curvature were change of tooth axis caused by contact with 2nd deciduous tooth and amount of mesial and superior movement related to change of occlusal plane.

  7. Eficacia del Tratamiento con Amoxicilina en la Prevencin de Complicaciones Postoperatorias en Pacientes Sometidos a Ciruga del Tercer Molar: un Estudio Doble Ciego / Efficacy of Amoxicillin Treatment in Preventing Postoperative Complications in Patients Undergoing Third Molar Surgery: a Double Blind Study

    Walter Leal, de Moura; Weber Leal, de Moura; Simei Andr da Silva Rodrigues, Freire; Suy Moura, Mendes; Sergio, Olate.

    2011-08-01

    Full Text Available El objetivo de esta investigacin fue estudiar clnicamente la eficacia de la terapia con amoxicilina en terceros molares retenidos sobre las condiciones postoperatorias de edema, dolor, trismus e infeccin. Fueron seleccionados 14 pacientes de entre 15 y 30 aos con la retencin de los dientes 3.8 [...] y 4.8 en la misma posicin segn las clasificaciones utilizadas actualmente. Se realiz inicialmente una ciruga y posteriormente la segunda; se estableci un grupo test con terapia antibitica (amoxicilina 500mg c/8h por 7 das) y un grupo control que no utilizo antibiticos. El edema fue estudiado a travs de la distancia de puntos faciales de referencia y la evaluacin del trimus fue obtenida por medio de la distancia interincisal superior e inferior. El dolor fue estudiado mediante escala visual anloga. No existi diferencia estadsticamente significativa en relacin al edema y al trismus en los periodos estudiados; existi diferencia estadsticamente significativa respecto al dolor durante los primeros dos das, siendo el grupo test que presentaba ms dolor. A los 7 das ya no se apreci diferencias. Finalmente, la amoxicilina como terapia posterior a la exodoncia de terceros molares no se relaciona con las condiciones postoperatorias del paciente. Abstract in english The aim of this study was to clinically evaluate the efficacy of antibiotics in retained third molar extractions, determining the need of antibiotics prophylaxis use in these procedures. Fourteen (14) patients, aged between 15 and 30 years, irrespective of sex, color or race were selected, for remov [...] al of retained third molars in symmetrical positions. The surgeries were divided into two groups: the control group in the first surgery and the second group undergoing prophylactic administration of 500 mg of amoxicillin 8 / 8 hours, for seven days after surgery. The evaluation of edema was established by the distance of reference points and assessment of facial trismus and was obtained by top and bottom interincisal distance. Measurements were performed before and after surgery, 24, 48 hours and for 7 days. Pain was evaluated subjectively by a visual analog scale. There was no statistically significant difference with respect to swelling and trismus after dental extractions with or without the use of antibiotics, and there was statistically significant difference in relation to pain in the postoperative periods of 24 and 48 hours, and increased pain reported by the test group. At day seven no differences were noted in perception of pain between the groups. Finally, the amoxicillin therapy subsequent to the third molar surgery is not related to the postoperatory conditions of the patient.

  8. Evaluation of the distortion rate of panoramic and peri apical radiographs in erupted third molar inclination

    Panoramic and peri apical radiographs are normally used in impacted third molar teeth surgeries. The aim of the present study was to evaluate and compare the distortion of the erupted third molar teeth on panoramic and peri apical radiographs. Patients and Methods: A total of 44 radiographs were obtained of 22 patients (age range, 18-24 years) referred to the faculty of dentistry for orthodontic treatment. A plaster cast was prepared and panoramic radiography was taken for all patients to plan the orthodontic treatment and peri apical radiography was taken for investigation of tooth structure details. Therefore, a total of 66 views and samples were studied by two methods: 1) Measuring the angle between the longitudinal plane of the third molar and occlusal plane. 2) Measuring the angle between the longitudinal plane of second and third molar. Finally, 132 records were evaluated by one individual. Results: There was no significant statistical difference between the mean position of the third molar on panoramic, peri apical radiographs and the casts. However, measurements of the third molars on peri apical radiographs were slightly closer to the measurements of the casts compared to the panoramic radiographs. Conclusion: Distortion does not have a specific effect on the diagnosis of the position of the third erupted molars by peri apical or panoramic radiographs, though various studies have shown that these radiographs have an amount of distortion and peri apical radiographical distortion is less than that in panoramic radiography.

  9. Intrusion of overerupted upper first molar using two orthodontic miniscrews. A case report.

    Kravitz, Neal D; Kusnoto, Budi; Tsay, Peter T; Hohlt, William F

    2007-09-01

    Loss of the mandibular first molar often leads to the overeruption of the opposing maxillary first molar, resulting in occlusal interference, loss of periodontal bony support, and inadequate room to restore the mandibular edentulous space. Without orthodontic molar intrusion or segmental surgical impaction, restoring the posterior occlusion often entails the need for significant reduction of maxillary molar crown height, with the potential need for costly iatrogenic root canal therapy and restoration. The literature has cited successful maxillary molar intrusion with minor prosthodontic reduction using palatal orthodontic miniscrews and buccal zygomatic miniplates. In this report, the authors present successful maxillary molar intrusion with two orthodontic miniscrews in a patient with extreme dental anxiety and significant dental erosion due to gastric reflux. Using two orthodontic miniscrews for skeletal anchorage to intrude the maxillary molar simplified the orthodontic treatment by eliminating the need for extensive surgery, headgear, and intraoral multiunit anchorage and preserved indispensable tooth enamel. The clinical results showed significant intrusion through the maxillary sinus cortical floor while maintaining periodontal health, tooth vitality, and root length. PMID:17902236

  10. National clinical guidelines for the extraction of first permanent molars in children.

    Cobourne, M T; Williams, A; Harrison, M

    2014-12-01

    This article summarises recently updated guidelines produced by the Clinical Governance Directorate of the British Orthodontic Society through the Clinical Standards Committee of the Faculty of Dental Surgery, Royal College of Surgeons of England (FDSRCS) on the extraction of first permanent molars in children. The first permanent molar is susceptible to chronological enamel defects, molar-incisor hypomineralisation and caries, which may necessitate enforced extraction in the developing dentition. In the right circumstances, the extraction of these teeth can be followed by successful eruption of the second permanent molar and ultimately, third molar eruption to complete the molar dentition. For this reason, elective extraction of first permanent molars with a questionable long-term prognosis should be considered when planning enforced extractions. However, a number of factors can influence the decision-making process, including the necessity for a general anaesthetic to allow extraction, potential cooperation with restorative or orthodontic treatment and likely future preventative practice within the family. Moreover, the presence of any underlying malocclusion also needs to be evaluated within the context of extraction planning. The current available evidence has been evaluated and awarded a grade based upon those recommended by the Scottish Intercollegiate Guidelines Network. PMID:25476643

  11. Morphology of the Physiological Apical Foramen in Maxillary and Mandibular First Molars

    Abarca, J.; Zaror, C.; Monardes, H.; Hermosilla, V.; Muoz, C.; Cantin, M.

    2015-01-01

    SUMMARY Information regarding the anatomy of the physiological apical foramen is limited. Knowing its diameter and shapes contributes to clinical work, specifically to the cleaning and shaping of the apical third. The aim of this ex vivo study was to determine the minimum and maximum diameters and shape of the physiological apical foramen in the roots of maxillary and mandibular first molars. A descriptive study was conducted on 89 recently extracted first molars. Roots 35 mm from the apex were sectioned and prepared for analysis at 40 magnification. The minimum and maximum diameters of each physiological foramen were measured using the program Motic Images plus 2.0 ML. The shape of the foramina, classified as round, oval or irregular, was determined by the difference between the maximum and minimum diameters. A total of 174 physiological foramina were analyzed. The average of the minimum and maximum diameters was between 0.240.33 mm in maxillary first molars and between 0.250.33 mm in mandibular first molars. In maxillary molars, the most common shape of the foramen was oval (50%), then irregular (32%), then round (18%). In mandibular molars, the oval shape was also the most frequent (59%), followed by irregular (23%) and round (18%). The findings of this study regarding the morphology of physiological apical foramina in first molars make it easier for the operator to choose the appropriately-sized instruments to perform endodontic therapy successfully. PMID:25937698

  12. Radiographic correlation of dental and skeletal age: Third molar, an age indicator

    G N Suma

    2011-01-01

    Full Text Available Background: Age estimation plays a great role in forensic investigations, orthodontic and surgical treatment planning, and tooth transplantation. Teeth offer an excellent material for age determination by stages of development below the age of 25 years and by secondary changes after the age of 25 years. Third molar is often not included for this purpose due to its notorious developmental patterns. The aim of this study was to evaluate the development of third molar anlage in relation to skeletal maturities and the chronological age. Materials and Methods: One hundred and fifty-six young individuals, 78 males and 78 females, were selected. The stages of development of all the third molars in every individual were determined from panoramic radiographs. The skeletal development was assessed using hand wrist radiographs. Data were analyzed statistically for mean value, standard deviation and the relationship between the recorded characteristics. Results: A strong correlation was found between third molar development and skeletal maturity (in males: r=0.88, P<0.001; in females: r=0.77 for maxillary third molar and 0.89 for mandibular third molar, P<0.001. Conclusion: Hence, it is concluded that a strong correlation exists between chronological age, developmental stages of third molars and maturation of epiphyses of hand. Any of the three parameters could be used for the assessment of other maturities.

  13. Prevalence of taurodontism in primary mandibular first molars of ethnic Indian children.

    Nagaveni, N B; Radhika, N B

    2012-01-01

    The objective of this study was to determine the prevalence of taurodontism in primary mandibular first molars in ethnic Indian children using periapical radiographs. Periapical radiographs of 274 children obtained from December 2008 to August 2010 were retrospectively screened and examined. Radiographs of 196 patients (99 boys and 97 girls; ages 2.5-10.5) with bilateral primary mandibular first molars were randomly selected and evaluated. The gender, symmetry, and frequencies of occurrence of taurodont primary mandibular first molars were compared and the obtained data were statistically analyzed using the x2 test. Eight (4.08%) taurodont primary mandibular first molars were found with a bilateral incidence of a symmetrical distribution of 38% (3/8). The prevalence of taurodontism in primary mandibular first molars did not differ significantly between right and left sides or with gender (P ? 0.05). The results of the present study indicate that approximately 4% of Indian children had taurodontism in primary mandibular first molars. Clinicians should be aware of the prevalence of this anatomic variant in primary mandibular first molars among the Indian population for early identification of taurodonts and for rendering the best care during dental treatment. PMID:23032243

  14. Use of cone beam imaging to assess inter-root distance in molar furcations.

    Dutra, Danilo Antonio Milbradt; da Silva, Felipe Borges; Moreira, Carlos Heitor Cunha; Kantorski, Karla Zanini

    2014-01-01

    This study used cone beam computed tomography (CBCT) to evaluate distances among root surfaces in molar furcations and assess the congruence between inter-root distances in molar furcations and curette blade widths. Distances among root surfaces at 1 and 3 mm from the fornix of molar furcations (points A and B, respectively) were measured with standardized CBCT images and analyzed using computer software. Periodontal curette widths were evaluated by digital caliper and stereomicroscope (magnification 10x). Forty CBCT images (containing a total of 141 molar teeth and 354 furcations) were evaluated; 19 furcations (5.4%) with fused molars were excluded. Mesial furcations of the first molars had the highest average inter-root distances (point A: 3.81 0.87 mm; point B: 5.30 0.92 mm), while buccal furcations of the maxillary second molars had the smallest average distances (point A: 1.49 0.37 mm; point B: 1.90 0.65 mm). Analysis of 107 curettes revealed statistically significant differences among curette types and manufacturers. Pearson's coefficient revealed a strong and significant correlation for curette measurement using digital caliper and stereomicroscope (r = 0.86, P < 0.01). In most cases, the curettes tested allowed access for scaling and root planing of teeth with furcation involvement. PMID:24598502

  15. Periodontal problems following surgical extraction of impacted mandibular third molar teeth

    Majid Eshghpour

    2013-03-01

    Full Text Available Introduction:There are conflicting reports on the effects of surgical removal of impacted mandibular third molars on the periodontium of the adjacent teeth. The aim of this study was to compare the condition of the periodontium six months after extraction of impacted mandibular third molars with baseline values. Methods: Fifty patients with mesioangular impacted mandibular third molarsparticipated in this study. Probing depth (PD, Leo and Sillness' gingival index (GI, and clinical attachment level (CAL in distobuccal, mid-distal, and distolingual surfaces of second molar teeth were assessed before surgical extraction of the third molars and 6 months later. To evaluate the changes in alveolar bone height (BH, two parallel PA radiographs obtained at the baseline and follow-up session. Data was analyzed with SPSS 11.0 software atthe confidence interval of 95%. Results: Thirty-eight females and 12 males participated in this study. Twenty-eight(56% of impacted molar teeth were in the right side and 22 (44% were in the left side. Baseline values of PD, CAL, and GI at three points of the distal surface of the mandibular second molar tooth had no significant differences with follow-up values (P-value> 0.05. According to the radiographs, baseline BH also had insignificant difference with follow-up height (P-value>0.05. Conclusion: Surgical removal of impacted mandibular third molar does not affect periodontium after 6 months.

  16. Changes in the Position of Mandibular Third Molars Following Extraction and Non-Extraction Orthodontic Treatments

    Maryam Poosti

    2013-01-01

    Full Text Available Introduction: Impaction of third molars can be associated with a number of sequelae, each requiring a different type of treatment. The purpose of this study was to assess the changes in the position of lower third molars following extraction and non-extraction orthodontic treatments. Methods: Pre- and post-treatment panoramic radiographs of 26 class I malocclusion patients (4 male and 22 female who were treated on a non-extraction basis were compared with those of 30 class I malocclusion patients (5 male and 25 female who received orthodontic treatment following the extraction of all first premolars. In each group, the lower third molar angulations and their distance from the lower border of the mandible were assessed. Results: Paired t-tests and independent t-tests detected significant changes in the position of the lower third molars in the extraction group. Both the left and right molars became more upright and their distance from the lower border of the mandible increased. Similar changes were only seen in the position of the right mandibular third molars in the non-extraction group. Conclusion: Tooth extractions can bring about favorable changes in the position of mandibular third molars and possibly reduce their incidence of impaction

  17. Changes in the Position of Mandibular Third Molars Following Extraction and Non-Extraction Orthodontic Treatments

    Maryam Poosti

    2012-09-01

    Full Text Available Introduction: Impaction of third molars can be associated with a number of sequelae, each requiring a different type of treatment. The purpose of this study was to assess the changes in the position of lower third molars following extraction and non-extraction orthodontic treatments. Methods: Pre- and post-treatment panoramic radiographs of 26 class I malocclusion patients (4 male and 22 female who were treated on a non-extraction basis were compared with those of 30 class I malocclusion patients (5 male and 25 female who received orthodontic treatment following the extraction of all first premolars. In each group, the lower third molar angulations and their distance from the lower border of the mandible were assessed. Results: Paired t-tests and independent t-tests detected significant changes in the position of the lower third molars in the extraction group. Both the left and right molars became more upright and their distance from the lower border of the mandible increased. Similar changes were only seen in the position of the right mandibular third molars in the non-extraction group. Conclusion: Tooth extractions can bring about favorable changes in the position of mandibular third molars and possibly reduce their incidence of impaction.

  18. Computed tomographic diagnosis of calcified inferior vena cava thrombus in a child with Wilm's tumor

    A calcified thrombus in the inferior vena cava of infants and children may be imaged by computed tomography. The precise location of the calcification within the inferior vena cava may be confirmed by computed tomographic scanning during injection of intravenous contrast material. (orig.)

  19. Caractersticas de los Canales Radiculares de Molares Temporales / Characteristics of Roots Canals of Deciduous Teeth

    Esther, Vaillard Jimnez; Enrique, Huitzil Muoz; Loida, Castillo Domnguez.

    2015-04-01

    Full Text Available El objetivo de esta investigacion fue identificar en los canales radiculares de la denticin temporal las variantes anatmicas de la cavidad dentaria pulpar. Se realiz un estudio clnico, descriptivo, transversal ex vivo, que analiz una muestra de 60 dientes temporales pertenecientes a nios mexic [...] anos aparentemente sanos, cuya extraccin se indic por motivos teraputicos. Los dientes fueron almacenados en agua destilada y posteriormente diafanizados. La identificacin de canales radiculares se realiz por un solo observador durante dos ocasiones (k= 0,7947). Los dientes unirradiculares presentaron 50% de canales simples y laterales, 25% secundarios y 25% deltas. Los molares maxilares presentaron un 8% de canales simples en cada raz, mientras que los molares mandibulares un 29%. Canales secundarios, paralelos y recurrentes se observaron en el 33% de los molares. El 100% de las races distales de molares mandibulares presentaron canales reticulares. Las fusiones radiculares se presentan en el 88% de las molares mandibulares. La anatoma de los canales radiculares de la denticin temporal es altamente compleja. Abstract in english The aim of this study was to identify in roots canals of deciduous teeth anatomical variants in pulpar cavity. In a clinical, descriptive, cross sectional ex vivo study was analyzed a sample of 60 deciduous teeth of healthy Mexican children. Each tooth was conserved in distillated water and were tra [...] nsparency with a technic modified for deciduous teeth. Identifications of root canals was made twice by a lonely observant (k= 0.7947). Simple root teeth show 50% simple and lateral root canal, 25% secondary, 25% delta. Upper molars show 8% simple canal in each root. Lower molars 29%. Secondary root canals, parallel and recurrent were identified in 33% of cases. 100% of distal roots of lower molars have reticular canals. Root fusions are presents in 88% of lower molars. In conclusion, root canals anatomy of deciduous teeth is high complex.

  20. The Endovascular Management of Saccular Posterior Inferior Cerebellar Artery Aneurysms

    The purpose of this retrospective study was to report the outcome of the endovascular treatment of eight patients with eight saccular posterior inferior cerebellar artery (PICA) aneurysms. Over the last seven years (1999-2006), eight consecutive patients with saccular PICA aneurysms were treated by endovascular methods. Five of the aneurysms were presented with subarachnoid hemorrhaging, whereas three were discovered incidentally. Four of the aneurysms (3 ruptured and 1 incidental) were treated by intrasaccular coiling, whereas the remaining four (1 ruptured and 3 incidental) were treated by vertebral artery (VA) occlusion. Of the four aneurysms treated by intrasaccular coiling, three were completely packed with coils and one was partially packed. In three of four patients who underwent vertebral artery occlusions, follow-up digital subtraction angiographies demonstrated thrombosed aneurysms and PICA. No procedurerelated morbidity occurred and no re-bleed was encountered during a follow-up examination (mean; 31 months). As a result of this study, we found that the endovascular management of saccular PICA aneurysms should be considered as safe and effective

  1. Advanced Techniques for Removal of Retrievable Inferior Vena Cava Filters

    Iliescu, Bogdan; Haskal, Ziv J., E-mail: ziv2@mac.com [University of Maryland School of Medicine, Division of Vascular and Interventional Radiology (United States)

    2012-08-15

    Inferior vena cava (IVC) filters have proven valuable for the prevention of primary or recurrent pulmonary embolism in selected patients with or at high risk for venous thromboembolic disease. Their use has become commonplace, and the numbers implanted increase annually. During the last 3 years, in the United States, the percentage of annually placed optional filters, i.e., filters than can remain as permanent filters or potentially be retrieved, has consistently exceeded that of permanent filters. In parallel, the complications of long- or short-term filtration have become increasingly evident to physicians, regulatory agencies, and the public. Most filter removals are uneventful, with a high degree of success. When routine filter-retrieval techniques prove unsuccessful, progressively more advanced tools and skill sets must be used to enhance filter-retrieval success. These techniques should be used with caution to avoid damage to the filter or cava during IVC retrieval. This review describes the complex techniques for filter retrieval, including use of additional snares, guidewires, angioplasty balloons, and mechanical and thermal approaches as well as illustrates their specific application.

  2. A Case Report: Bilateral Posterior Inferior Cerebellar Artery Infarct

    Nurten Çolak

    2004-01-01

    Full Text Available The most frequent type of cerebellar infarcts involves the posterior inferior cerebellar artery (PICA and superior cerebellar artery territories. Bilateral symettrical cerebellar infarcts are extremely rare. The etiology of this infarct pattern has not been shown clearly. It is postulated that bilateral PICA infarcts are caused by the stenosis of PICA which emerges from the left vertebral artery that supplies the blood for both cerebellar hemispheres. A 42-year old male patient came with complaints of headache, loss of balance, vertigo, nausea-vomiting and diplopia. On his neurological examination, there was nistagmus and diplopia on both horizontal gaze directions. His cerebellar tests were minimal deficient on the left side and the patient had an ataxia to the left side. His cranial MR revealed bilateral PICA infarct, and his digital substraction angipgraphy (DSA showed that his vertebral artery was stenosed from its point of origin. The etiological cause was thought to be intracranial vertebral artery occlusion with a baseline insitu atherosclerosis, in the presence of branches having their origin from one side and going to both PICA territories. The bilateral PICA infarct case,which is a rare clinical presentation, was evaluated with the help of the literature and probable pathogenesis was hypothesized.

  3. Inferior vena cava filters: What radiologists need to know

    Inferior vena cava (IVC) filters are a controversial mechanical adjunct in the prevention of pulmonary embolism, the most serious result of venous thromboembolism. Despite modern IVC filters being in clinical use for more than 45 years, there is still uncertainty amongst many radiologists about the indications for IVC filter placement and their removal, particularly the more recent prophylactic use in patients without confirmed deep vein thrombosis (DVT) or pulmonary embolism (PE). Recently published guidelines on filter use from the National Institute of Health and Clinical Excellence (NICE) and other professional bodies are discussed. The vast majority of IVC filters in the UK are inserted by interventional radiologists, so radiologists may be the first point of contact for information requested by other clinicians. The increasing use of filters means that radiologists will encounter filters increasingly often during abdominal cross-sectional imaging. Awareness of common filter-related complications, such as tilting, thrombosis, and caval perforation, is useful to reassure or alert other clinicians. The potential role of filters in upper extremity DVT and requirement for concomitant anticoagulation is discussed

  4. Dopaminergic Input to the Inferior Colliculus in Mice

    Nevue, Alexander A.; Elde, Cameron J.; Perkel, David J.; Portfors, Christine V.

    2016-01-01

    The response of sensory neurons to stimuli can be modulated by a variety of factors including attention, emotion, behavioral context, and disorders involving neuromodulatory systems. For example, patients with Parkinsons disease (PD) have disordered speech processing, suggesting that dopamine alters normal representation of these salient sounds. Understanding the mechanisms by which dopamine modulates auditory processing is thus an important goal. The principal auditory midbrain nucleus, the inferior colliculus (IC), is a likely location for dopaminergic modulation of auditory processing because it contains dopamine receptors and nerve terminals immunoreactive for tyrosine hydroxylase (TH), the rate-limiting enzyme in dopamine synthesis. However, the sources of dopaminergic input to the IC are unknown. In this study, we iontophoretically injected a retrograde tracer into the IC of mice and then stained the tissue for TH. We also immunostained for dopamine beta-hydroxylase (DBH), an enzyme critical for the conversion of dopamine to norepinephrine, to differentiate between dopaminergic and noradrenergic inputs. Retrogradely labeled neurons that were positive for TH were seen bilaterally, with strong ipsilateral dominance, in the subparafascicular thalamic nucleus (SPF). All retrogradely labeled neurons that we observed in other brain regions were TH-negative. Projections from the SPF were confirmed using an anterograde tracer, revealing TH-positive and DBH-negative anterogradely labeled fibers and terminals in the IC. While the functional role of this dopaminergic input to the IC is not yet known, it provides a potential mechanism for context dependent modulation of auditory processing. PMID:26834578

  5. Tonotopic organization in the depth of human inferior colliculus

    David Ress

    2013-09-01

    Full Text Available Experiments in animal models indicate that inferior colliculus (IC, the primary auditory midbrain structure, represents sound frequency in a particular spatial organization, a tonotopy, that proceeds from dorsal and superficial to ventral and deeper tissue. Experiments are presented that use high-resolution, sparse-sampling functional magnetic resonance imaging (fMRI at 3T to determine if tonotopic gradients can be reliably measured in human IC using high-resolution fMRI. Stimuli were sequences of band-pass filtered noise with different center frequencies, presented sequentially while fMRI data were collected. Four subjects performed an adaptive frequency-discrimination task throughout the experiment. Results show statistically significant tonotopic gradients within both ICs of all subjects. Frequency gradients as a function of depth were measured using surface-based analysis methods that make virtual penetrations into the IC tissue. This organization was evident over substantial portions of the IC, at locations that are consistent with the expected location of the central nucleus of IC. The results confirm a laminar tonotopy in the human IC at 3T, but with a heterogeneous, patchy character. The success of these surface-based analysis methods will enable more detailed non-invasive explorations of the functional architecture of other subcortical human auditory structures that have complex, laminar organization

  6. Distribution of eye position information in the monkey inferior colliculus

    Groh, Jennifer M.

    2012-01-01

    The inferior colliculus (IC) is thought to have two main subdivisions, a central region that forms an important stop on the ascending auditory pathway and a surrounding shell region that may play a more modulatory role. In this study, we investigated whether eye position affects activity in both the central and shell regions. Accordingly, we mapped the location of eye position-sensitive neurons in six monkeys making spontaneous eye movements by sampling multiunit activity at regularly spaced intervals throughout the IC. We used a functional map based on auditory response patterns to estimate the anatomical location of recordings, in conjunction with structural MRI and histology. We found eye position-sensitive sites throughout the IC, including at 27% of sites in tonotopically organized recording penetrations (putatively the central nucleus). Recordings from surrounding tissue showed a larger proportion of sites indicating an influence of eye position (3343%). When present, the magnitude of the change in activity due to eye position was often comparable to that seen for sound frequency. Our results indicate that the primary ascending auditory pathway is influenced by the position of the eyes. Because eye position is essential for visual-auditory integration, our findings suggest that computations underlying visual-auditory integration begin early in the ascending auditory pathway. PMID:22031775

  7. Obstruction increases activation in the right inferior frontal gyrus.

    Liu, Tao; Saito, Hirofumi; Oi, Misato

    2016-08-01

    The right inferior frontal gyrus (IFG) is involved in intention understanding during interpersonal interactions. To examine how prior experience of cooperation and competition affects one's right IFG activation in the subsequent interaction, using near-infrared spectroscopy (NIRS) we simultaneously measured paired participants' bilateral IFG activations during a turn-taking game. Participant pairs were assigned to either one of two roles: a Builder taking the initial move to copy a target disk-pattern on monitor and the Partner taking the second move to aid in (cooperation) or to obstruct (competition) the Builder. The experiment consisted of two sessions. One participant (B-P) played as a Builder (B-) in session 1 and changed the role to the Partner (-P) in session 2, and vice versa for the paired participant (P-B). NIRS data in competition demonstrated that the Builder (B-) being obstructed in session 1 showed higher right IFG activation when (s)he took a role of obstructor (-P) in session 2 (the obstructed effect), whereas "the cooperated effect" was not revealed in cooperation. These results suggest that prior experience of being obstructed may facilitate understanding of the Builder and/or the obstructor's tactical move, thereby increasing his/her right IFG activation when one is meant to obstruct in subsequent competitions. PMID:26366676

  8. Propagation of a hybrid inferior wave in axisymmetrical plasma

    The linear propagation of hybrid inferior waves in an axisymmetrical plasma (magnetohydrodynamic equilibrium of the Soloviev type) has been numerically simulated. The evolution of k// (component of the wave vector k parallel to the magnetic field B), important for current drive modelling, has been studied as a function of the geometric parameters of the equilibrium: aspect ratio, ellipticity and triangularity. The results show that k// depends abruptly on the parameters; the engendered structures are very rich. Two mechanisms by which k// increases have been shown: the 'resonance' occurring in small bands of the space of the parameters and which is associated with trajectories in (R,Z) near stabilization; a stochastic evolution resembling diffusion in equlibriums of very high triangularity. However, a strong increase of k// of a part of the waves, susceptible of engendering a current in the plasma, has only been observed in a minority of cases. In literature current drive experiments have been reported which work and whose parameters are a priori such that our model cannot be expected to show the desired growth of k//. Consequently, our model, which is similar to normally used models, does not explain the current drive. 5 refs., 16 figs

  9. Hypohyperdontia: Agenesis of three third molars and mandibular centrals associated with midline supernumerary tooth in mandible

    Sivakumar Nuvvula

    2010-01-01

    Full Text Available Agenesis of teeth in a patient who also presents with a supernumerary tooth is one of the rare numerical anomalies in human dentition. Agenesis of third molars was shown to be associated with other missing permanent teeth. A review of literature on hypodontia including third molar agenesis, hyperdontia and a concomitant presence of these two conditions which is termed as hypohyperdontia is presented along with a case showing agenesis of three third molars, both mandibular central incisors and a midline supernumerary tooth.

  10. Mandibular molars,3D reconstruction and configuration of their morphological variations

    Lyroudia, K.; Chatzikallinikidis, C.; Dinga, A.; Pitas, I

    2010-01-01

    During the last decade a number of articles studied the morphology of mandibular molars. The C-shaped root canal, an unusual anatomic configuration has been reported in studies referring to the mandibular second molar. The purpose of this study was a three-dimensional reconstruction of six free of caries mandibular molars. The teeth were embedded in a two-phase polyester resin. Serial cross sections were taken from each tooth and were digitized. Contours of the external as well as the interna...

  11. Apparent molar volumes and compressibilities of alkaline earth metal ions in methanol and dimethylsulfoxide

    Warminska, Dorota, E-mail: dorota@chem.pg.gda.p [Department of Physical Chemistry, Chemical Faculty, Gdansk University of Technology, 80-233 Gdansk (Poland); Wawer, Jaroslaw; Grzybkowski, Waclaw [Department of Physical Chemistry, Chemical Faculty, Gdansk University of Technology, 80-233 Gdansk (Poland)

    2010-09-15

    Temperature dependencies of density of magnesium (II), calcium (II), strontium (II), barium (II) perchlorates as well as beryllium (II), and sodium trifluoromethanesulfonates in methanol and dimethylsulfoxide have been determined over the composition range studied. From density data the apparent molar volumes and partial molar volumes of the salts at infinite dilution as well as the expansibilities have been evaluated. The apparent molar isentropic compressibilities of alkaline earth metal perchlorates and beryllium (II) and sodium triflates in methanol and DMSO have been calculated from sound speed data obtained at T = 298.15 K.

  12. Apparent molar volumes and compressibilities of alkaline earth metal ions in methanol and dimethylsulfoxide

    Temperature dependencies of density of magnesium (II), calcium (II), strontium (II), barium (II) perchlorates as well as beryllium (II), and sodium trifluoromethanesulfonates in methanol and dimethylsulfoxide have been determined over the composition range studied. From density data the apparent molar volumes and partial molar volumes of the salts at infinite dilution as well as the expansibilities have been evaluated. The apparent molar isentropic compressibilities of alkaline earth metal perchlorates and beryllium (II) and sodium triflates in methanol and DMSO have been calculated from sound speed data obtained at T = 298.15 K.

  13. Two-Rooted Maxillary First Molars with Two Canals: A Case Series

    Seddigheh Gholizadeh

    2013-01-01

    Full Text Available Thorough understanding of the anatomic and internal morphology of a root canal system is absolutely essential for the success of endodontic treatment. Since permanent maxillary first molars have shown variation in internal anatomy, morphology, this tooth has been reviewed extensively. Presence of two canals in a two-rooted maxillary first molar has rarely been reported in studies describing tooth and root canal anatomies. In this report, three cases are presented, which involve the root canal treatment of maxillary first molars with fusion of the two buccal roots.

  14. [Analysis of divergent angle and length of CEJ to furcation entrance in extracted molars].

    Hou, G L; Chen, S F; Tsai, C C; Huang, J S

    1997-12-01

    The purposes of this study were to investigate the furcation entrance angle (FEA) and the distance between cemento-enamel junction (CEJ) and furcation entrance (FE) of the extracted maxillary and mandibular molars. Assay teeth comprised 89 maxillary molars and 93 mandibular molars. All the FEAs and CEJ-FEs of the molars were measured by a stereomicroscope at 2.5 x equipped with a Bioscan OPTIMAS Image Analyzer (BOIA). The results were summarized as follows: (1) The mean FEAs in the buccal, mesial and distal furcations were 96.3 +/- 10.0, 103.8 +/- 9.7, and 107.2 +/- 12.2 degrees in the maxillary molars, and 91.6 +/- 11.7, 101.7 +/- 11.5, and 97.1 +/- 10.7 degrees in the maxillary second molars, respectively. At the buccal and lingual furcations of mandibular first and second molars, they measured 100.5 +/- 9.7/102.7 +/- 8.5, and 93.3 +/- 11.5/91.7 +/- 10.8 degrees, respectively. (2) The mean distance of CEJ-FEs at the buccal, mesial and distal furcations of maxillary molars were 3.42 +/- 1.5mm, 3.55 +/- 0.97 mm, and 3.69 +/- 0.98mm for the first molars, and 3.01 +/- 1.04mm, 4.04 +/- 1.58mm and 3.00 +/- 1.14mm for the second molars. At the buccal and lingual furcations of the mandibular first and second molars, they were recorded as 1.90 +/- 0.08mm and 2.90 +/- 0.07mm, and 2.82 +/- 1.34mm and 3.46 +/- 1.03mm, respectively. It was concluded that buccal FEA of maxillary 2nd molar was the smallest (91.56 +/- 9.68 degrees) as compared to the mesial and distal FEAs; whereas the mean distance of CEJ-FEs at the buccal surface was the smallest (1.90mm +/- 0.08mm) when compared to the others. PMID:9436343

  15. Association between clinical parameters and the presence of active caries lesions in first permanent molars Associação entre parâmetros clínicos e a presença de lesões ativas de cárie em primeiros molares permanentes

    Juliana Maria Quaglio

    2006-12-01

    Full Text Available The aim of the present study was to evaluate the association between clinical parameters and the presence of active caries lesions on the occlusal surface of first permanent molars. Forty eight children (5.8-13.8 years-old with at least one first permanent molar present were selected. The clinical parameters evaluated were gender, age, DMF-T and dmf-t, presence of active white spots in other teeth, general plaque index, tooth's dental arch (upper or lower, tooth's side (right or left, presence of visible plaque and eruption degree of the first permanent molars. The first permanent molars were evaluated through visual inspection by two examiners in order to assess the presence of active or inactive caries lesions on the occlusal surface. Univariate and multivariate analyses for determination of the association between clinical parameters and the presence of active caries lesions in these teeth were performed. The presence of active white spots in other teeth was associated with the presence of active caries lesions in the first permanent molars, in both univariate and multivariate analyses (Odds ratio = 8.8 and 1.9, respectively. The presence of abundant visible plaque on the occlusal surface of the first permanent molars (Odds ratio = 3.5 in the univariate analysis, and 3.9 in the multivariate one also presented a significant association. In conclusion, the presence of active white spots in other teeth and the presence of considerable visible plaque were associated with the presence of active caries lesions on the occlusal surfaces of first permanent molars.O objetivo do presente trabalho foi avaliar a associação entre parâmetros clínicos e presença de lesões ativas de cárie sobre a superfície oclusal de primeiros molares permanentes. Quarenta e oito crianças (5,8-13,8 anos com pelo menos um primeiro molar permanente foram selecionadas. Os parâmetros clínicos avaliados foram sexo, idade, CPO-D e ceo-d, presença de manchas brancas ativas em outros dentes, índice de placa, arco dentário do dente (superior ou inferior, lado do dente (direito ou esquerdo, presença de placa visível e grau de erupção dos primeiros molares permanentes. Os primeiros molares permanentes foram avaliados usando inspeção visual por dois examinadores para avaliar a presença de lesões de cárie ativas ou inativas sobre a superfície oclusal. Análises univariada e multivariada para avaliação da associação dos parâmetros clínicos e presença de lesões ativas nesses dentes foram realizadas. A presença de manchas brancas ativas em outros dentes apresentou associação significante com a presença de lesões ativas de cárie nos primeiros molares permanentes, em ambas as análises univariada e multivariada ("Odds ratio" = 8,8 e 1,9, respectivamente. A presença de placa visível abundante sobre a superfície oclusal dos primeiros molares permanentes ("Odds ratio" = 3,5 na análise univariada, e 3,9 na análise multivariada também apresentou associação significante. Em conclusão, a presença de manchas brancas ativas em outros dentes e a presença de placa visível abundante apresentaram associação com a presença de lesões ativas de cárie sobre a superfície oclusal dos primeiros molares permanentes.

  16. Distalizao dos molares superiores com aparelho Pendex unilateral: estudo piloto com radiografia panormica Distalization of the upper molars with the Pend-X appliance: a pilot study with panoramic radiographs

    Omar Gabriel da Silva Filho

    2007-02-01

    Full Text Available OBJETIVO: o presente ensaio cientfico pe em pauta o efeito imediato da distalizao unilateral de molares superiores, lanando mo do distalizador intrabucal Pendex de ao unilateral. METODOLOGIA: o estudo prospectivo foi conduzido em trs pacientes na dentadura permanente madura, no estgio de adolescncia, que apresentavam uma m ocluso Classe II, subdiviso. O aparelho Pendex foi instalado com a mola distalizadora de TMA, construda apenas no lado direito. A metodologia baseou-se nas radiografias panormicas inicial e ps-distalizao para quantificar a inclinao axial mesiodistal dos molares superiores. RESULTADOS E CONCLUSES: os resultados mostraram que os molares do lado esquerdo mantiveram sua inclinao mesiodistal inicial, sugerindo ancoragem, enquanto os molares do lado direito foram inclinados para distal, semelhana do que ocorre com a distalizao simtrica dos molares superiores, obtida com o aparelho Pendex convencional. Os primeiros molares foram inclinados 11,5, enquanto os segundos molares foram inclinados 21 para distal.AIM: the current study focuses on the immediate unilateral distalization of the upper molars with the unilateral Pend-X appliance. METHODS: in three adolescent patients in the permanent dentition with Class II subdivision 1 malocclusion, the TMA loop was placed in the right side. Therefore, the first and second upper right molars were distalized with the Pend-X appliance. Panoramic radiographs taken before and after distalization were used to measure the mesiodistal axial inclination of the upper molars and the results were compared to those obtained with the bilateral Pend-X. RESULTS AND CONCLUSION: the findings show that the left molars kept their original mesiodistal inclination, suggesting that the anchorage was maintained, whilst the right molars were partially inclined in a distal direction, similarly to what occurs when conventional Pend-X is used to distalize molars bilaterally. The first molars showed an 11.5 distal inclination while the second molars presented a 21 distal inclination.

  17. Extração de incisivo inferior: uma opção de tratamento ortodôntico Lower incisor extraction: an orthodontic treatment option

    Mírian Aiko Nakane Matsumoto

    2010-12-01

    Full Text Available A exodontia de um incisivo inferior pode ser considerada uma opção valiosa na busca de excelência nos resultados ortodônticos para obtenção de máxima função, estética e estabilidade. O objetivo deste estudo foi reunir informações referentes às indicações, contraindicações, vantagens, desvantagens e estabilidade dos resultados obtidos nos tratamentos realizados com extração de um incisivo inferior. Essa opção de tratamento pode ser indicada em más oclusões com discrepância de volume dentário anterior devido a incisivos superiores estreitos e/ou incisivos inferiores largos. É contraindicada em más oclusões sem discrepância anterior ou com discrepâncias ocasionadas por incisivos superiores largos e/ou incisivos inferiores estreitos. A literatura sugere maior estabilidade pós-tratamento quando comparada com a opção de extrações de pré-molares. Além do diagnóstico cuidadoso, obtido com a colaboração do set-up, a habilidade e a experiência clínica do profissional são importantes para o sucesso dos resultados ortodônticos alcançados com essa opção de tratamentoLower incisor extraction can be regarded as a valuable option in the pursuit of excellence in orthodontic results in terms of function, aesthetics and stability. The aim of this study was to gather information about the indications, contraindications, advantages, disadvantages and stability of the results achieved in treatments performed with lower incisor extraction. This treatment option may be indicated in malocclusions with anterior dental volume discrepancy due to narrow maxillary incisors and/or large mandibular incisors. It is contraindicated in malocclusions without anterior discrepancy or with discrepancies caused by large maxillary incisors and/or narrow mandibular incisors. The literature suggests this method affords improved posttreatment stability compared with premolar extraction. As well as a careful diagnosis, established with the aid of a diagnostic setup, professional skills and clinical experience are instrumental in achieving successful orthodontic results with this treatment option

  18. Adjunctive Inferior Vena Cava Filter Placement for Acute Pulmonary Embolism

    Inferior vena cava (IVC) filters are sometimes placed as an adjunct to full anticoagulation in patients with significant pulmonary embolism (PE). We aimed to determine the prevalence of adjunctive IVC filter placement in individuals diagnosed with PE, as well as the effect of adjunctive filter placement on mortality in patients with right heart strain associated with PE. This was a retrospective study of patients with acute PE treated with full anticoagulation admitted to a single academic medical center. Information abstracted from patient charts included presence or absence of right heart strain and of deep-vein thrombosis, and whether or not an IVC filter was placed. The endpoint was in-hospital mortality. Over 2.75 years, we found that 248 patients were diagnosed with acute PE, with an in-hospital mortality rate of 4.4%. The prevalence of adjunctive IVC filter placement was 13.3% (33 of 248), and the prevalence of documented right heart strain was 27.0% (67 of 248). In-hospital mortality was 10.2% in the non-filter-treated group (5 of 49), whereas there were no deaths in the filter-treated group (0 of 18); however, the difference was not statistically significant (P = 0.37). Both the presence of deep-vein thrombosis and of right heart strain increased the likelihood that an adjunctive IVC filter was placed (P < 0.0001 and P < 0.001, respectively). At our institution, patients were treated with IVC filters in addition to anticoagulation in 13.3% of cases of acute PE. Prospective studies or large clinical registries should be conducted to clarify whether this practice improves outcomes.

  19. Root Canal Configuration of Maxillary First Permanent Molars in an Iranian Population

    Saeed Rahimi

    2007-06-01

    Full Text Available

    Background and aims. It is critical to have a proper knowledge of the normal anatomy of the pulp and its variations for the success of endodontic treatment. The purpose of this study was to investigate variations in the root canal system of maxillary first permanent molars in an Iranian population.

    Materials and methods. In this study, 137 maxillary first molars were decalcified, dye-injected, cleared and studied.

    Results. The results demonstrated that 37.96% of the maxillary first molars under study had three canals, 58.4% had four canals and 3.64% had five canals.

    Conclusion. According to the results of this study and considering variations in the root canal systems of maxillary first molars, it seems that great care should be taken in the root canal treatment of these teeth.

  20. Apparent molar volumes and compressibilities of lanthanum, gadolinium and lutetium trifluoromethanesulfonates in dimethylsulfoxide

    Highlights: ► Sequence of volumes and compressibilities of Ln3+ ions in DMSO is: La3+ > Gd3+ 3+. ► Sequence of the partial molar volumes do not change with temperature. ► These results are the consequence of nature of the ion–solvent bonding. - Abstract: Temperature dependencies of the densities of dimethylsulfoxide solutions of lanthanum, gadolinium and lutetium trifluoromethanesulfonates have been determined over a wide range of concentrations. The apparent molar volumes and partial molar volumes of the salts at infinite dilution, as well as the expansibilities of the salts, have been calculated from density data. Additionally, the apparent molar isentropic compressibilities of lanthanum, gadolinium and lutetium trifluoromethanesulfonates have been calculated from sound velocity data at 298.15 K. The data obtained have been interpreted in terms of ion−solvent interactions.

  1. Studies on the position of canines, premolars and molars by 450 .deg. oblique lateral cephalography

    This study was done using the 45 .deg. oblique lateral cephalograms of 20 year old, 18 male and 27 female, with normal occlusion, on canines, premolars, premolars and molars on upper and lower jaws. Axial inclination to nasal floor, occlusal plane and mandibular plane, and inter-axial inclination were examined. In addition the position of each tooth was examined in height and depth in upper and lower jaws. The results were obtained as follows; 1. The inclination of long axis of upper lst premolar was most nearly perpendicular, upper canine was tilted mesially, and 2nd premolar and molars were tilted distally. 2. The inclination of long axis of lower molars were tilted mesially. 3. There were no severe variation on the inter-axial inclination of canine to 2nd molar.

  2. Use of the intraosseous screw for unilateral upper molar distalization and found well balanced occlusion

    Buyukyilmaz Tamer

    2006-11-01

    Full Text Available Abstract Background The aim of this study was to present a temporary anchorage device with intraosseous screw for unilateral molar distalization to make a space for the impacted premolar and to found well balanced occlusion in a case. Case presentation A 13-year-old male who have an impacted premolar is presented with skeletal Class I and dental Class 2 relationship. The screw was placed and immediately loaded to distalize the left upper first and second molar. The average distalization time to achieve an overcorrected Class I molar relationship was 3.6 months. There was no change in overjet, overbite, or mandibular plane angle measurements. Mild protrusion (0.5 mm of the upper left central incisor was also recorded. Conclusion Immediately loaded intraosseous screw-supported anchorage unit was successful in achieving sufficient unilateral molar distalization without anchorage loss. This treatment procedure was an alternative treatment to the extraction therapy.

  3. Endodontic Management of Mandibular First Molar with Middle Distal Canal: A Case Report

    Vijay Reddy Venumuddala; M Sridhar; Rajasekaran, M.; Saravanan Poorni; Gnanaprakasam Senthilkumaran

    2012-01-01

    The knowledge of variations in root canal morphology is critical for a successful endodontic treatment. This article presents the endodontic management of a unique case of mandibular molar with middle distal canal which is quite uncommon.

  4. Molar heat capacities for {isomer of butanediol + methanol} as function of mixture composition and temperature

    Highlights: • Heat capacities for (butanediol + methanol) mixtures were measured. • Molar heat capacities of mixtures and its components were determined. • Excess functions were calculated. • Redlich–Kister equation was used. • Intermolecular interactions are discussed. - Abstract: Isobaric specific heat capacities for the binary mixtures {isomer of butanediol + methanol} were measured using a differential scanning calorimeter. The isobaric molar heat capacities were determined in the temperature range from (293 to 324) K. The excess molar isobaric heat capacities of mixtures and its components were calculated. The composition dependencies of the excess molar isobaric heat capacities at T = 298.15 K and at T = 323.15 K were fitted by the Redlich–Kister polynomials. The obtained results were analyzed from point of view of the influence of distance of -OH groups in butanediol molecule

  5. Molar incisor hypomineralization: Considerations about treatment in a controlled longitudinal case

    Daniela Cristina de Oliveira

    2015-01-01

    Full Text Available Molar incisor hypomineralization (MIH is a defect in the tooth enamel of systemic origin and may affect one or all four first permanent molars frequently associated with the permanent incisors. This case reports a 7-year-old child with severe MIH in the permanent molars associated with tooth decay and intense pain. In the first stage of treatment, therapy was performed with fluoride varnish and restoration with glass ionomer cement (GIC. After 6 years of clinical and radiographic follow-up, the restorations presented wear and fractures on the margins, indicating their replacement with composite resin. Severe cases of MIH in the early permanent molars can be treated with varnish and GIC to restore the patient′s comfort and strengthen the hypomineralized dental structures. The clinical and radiographic monitoring frequently indicated when the restoration with composite resin should be performed.

  6. Topography of the pulp chamber in the maxillary primary molars of a Tunisian children

    Chiraz Baccouche

    2013-01-01

    Conclusion: Mesiodistal dimension of the pulp cavity is not proportional to that of the dental crown. Endodontic access cavity have to be shifted to the distal and vestibular sides from the first to the second upper molar.

  7. On the responsiveness of hardened UF-resins of different molar ratio towards ammonia fumigation

    Roffael, E.

    2011-01-01

    Fumigation of two cross-linked UF-resins of molar ratio U:F 1:2.1 and 1:1.4 with ammonia reduces their formaldehyde release. The reduction seems to be more excessive in case of resin with molar ratio U:F 1:2.1. Ammonia fumigation also increases the nitrogen content of the hardened resins depending on their molar ratio U:F. Resin of the molar ratio U:F 1:2.1 is more receptive to ammonia than that of U:F 1:1.4. Moreover, the pH-value of aqueous extractives of the resins increases due to the amm...

  8. Sexual dimorphism in crown units of mandibular deciduous and permanent molars in Australian Aborigines.

    Kondo, S; Townsend, G C

    2004-01-01

    Sexual differences in the crown units of mandibular molars were investigated in Australian Aborigines. The first and second deciduous molars (dm1 and dm2), and first to third permanent molars (M1, M2 and M3) were measured on dental casts using a sliding caliper. Measurements of tooth crowns included overall mesiodistal and buccolingual diameters, as well as the mesiodistal and buccolingual diameters of the trigonid and talonid. Percentage dimorphism values were greater in the talonid dimensions than the trigonid, indicating that sex differences tend to be larger in the later-developing crown units. Sex differences in mesiodistal diameters increased from dm1 to M2 but decreased for M3, the tooth that showed the least dimorphism of all the molars. This result seems to be due to the marked variability in size of the M3 between individuals. PMID:15553268

  9. Simplifying Chemical Reactor Design by using Molar Quantities Instead of Fractional Conversion.

    Brown, Lee F.; Falconer, John L.

    1987-01-01

    Explains the advantages of using molar quantities in chemical reactor design. Advocates the use of differential versions of reactor mass balances rather than the integrated forms. Provides specific examples and cases to illustrate the principles. (ML)

  10. Management of Chronic Hyperplastic Pulpitis in Mandibular Molars of Middle Aged Adults- A Multidisciplinary Approach.

    Anilkumar, Kanakamedala; Lingeswaran, Somiya; Ari, Geetha; Thyagarajan, Ramakrishnan; Logaranjani, Anitha

    2016-01-01

    The molar tooth of children and young adults is a common site for chronic hyperplastic pulpitis (pulp polyp). It rarely occurs in middle aged adults. This condition is usually characterized by extensive involvement of the pulp, dictating the extraction of involved tooth. Extraction of permanent molars can lead to transient or permanent malocclusion, aesthetic, phonetic and functional problems. Here we report a case of pulp polyp in mandibular first molar of a 33-year-old woman that grew into the carious cavity. The aim of this case report is to describe the diagnosis of a chronic hyperplastic pulpitis involving the permanent molar as well as to describe its management in order to preserve them as a functional unit of the dentition. PMID:26894192

  11. "Mini-Flow-Through" Deep Inferior Epigastric Perforator Flap for Breast Reconstruction with Preservation of Both Internal Mammary and Deep Inferior Epigastric Vessels

    Sugawara, Jun; Yasumura, Kazunori; Mikami, Taro; Kobayashi, Shinji; Maegawa, Jiro

    2015-01-01

    This procedure was developed for preservation of the rectus muscle components and deep inferior epigastric vessel after deep inferior epigastric perforator (DIEP) flap harvesting. A 53-year-old woman with granuloma caused by silicone injection underwent bilateral nipple-sparing mastectomies and immediate reconstruction with "mini-flow-through" DIEP flaps. The flaps were dissected based on the single largest perforator with a short segment of the lateral branch of the deep inferior epigastric vessel that was transected as a free flap for breast reconstruction. The short segments of the donor deep inferior epigastric vessel branch are primarily end-to-end anastomosed to each other. A short T-shaped pedicle mini-flow-through DIEP flap is interposed in the incised recipient's internal mammary vessels with two arterial and four concomitant venous anastomoses. Although it requires multiple vascular anastomoses and a short pedicle for the flap setting, the mini-flow-through DIEP flap provides a large pedicle caliber, enabling safer microsurgical anastomosis and well-vascularized tissue for creating a natural breast without consuming time or compromising the rectus muscle components and vascular flow of both the deep inferior epigastric and internal mammary vessels. PMID:26618128

  12. Agenesis of premolar associated with submerged primary molar and a supernumerary premolar: An unusual case report

    Nirmala, S. V. S. G.; Sandeep, C.; N.Sivakumar; M S Babu; V Lalitha

    2012-01-01

    The combination of submerged primary molar, agenesis of permanent successor with a supernumerary in the same place is very rare. The purpose of this article is to report a case of submerged mandibular left second primary molar with supernumerary tooth in the same region along with agenesis of second premolar in an 11-year-old girl, its possible etiological factors, and a brief discussion on treatment options.

  13. Agenesis of premolar associated with submerged primary molar and a supernumerary premolar: An unusual case report

    S. V. S. G. Nirmala

    2012-01-01

    Full Text Available The combination of submerged primary molar, agenesis of permanent successor with a supernumerary in the same place is very rare. The purpose of this article is to report a case of submerged mandibular left second primary molar with supernumerary tooth in the same region along with agenesis of second premolar in an 11-year-old girl, its possible etiological factors, and a brief discussion on treatment options.

  14. A Cone-Beam Computed Tomographic Study on Mandibular First Molars in a Chinese Subpopulation

    ZHANG, Xin; Xiong, Shijiang; Ma, Yue; Han, Ting; Chen, Xinyu; WAN, FANG; Lu, Yating; Yan, Songhe; WANG, Yan

    2015-01-01

    The purpose of this study was to conduct a cone-beam computed tomographic (CBCT) investigation on the root and canal configuration of the mandibular first molars, especially the morphology of the disto-lingual (DL) root, in a Chinese subpopulation. A total of 910 CBCT images of the mandibular first molars were collected from 455 patients who underwent CBCT examinations as a preoperative assessment for implants or orthodontic treatment. The following information was analyzed and evaluated: too...

  15. Root and Canal Morphology of Mandibular Third Molars in an Iranian Population

    Maryam Kuzekanani; Jahangir Haghani; Hossein Nosrati

    2012-01-01

    Background and aims. A through knowledge of the root canal morphology is required for successful endodontic therapy. The aim of this study was to investigate the root and canal morphology of mandibular third molars in Kerman, a province in southeast of Iran. Materials and methods. One-hundred-fifty extracted mandibular third molars were collected randomly from different dental clinics in Kerman. The root canal anatomy and morphology of each tooth was carefully studied using a clea...

  16. Root and Canal Morphology of Mandibular Second Molar in an Iranian Population by Clearing Method

    Zare Jahromi M.; Jafari Golestan F.; Mashhadi Esmaeil M.; MoouaviZahed SH.; Sarami M.

    2013-01-01

    Statement of Problem: The knowledge of the pulp anatomy plays an important role in the success of endodontic treatments.Purpose: The aim of this study was to determine the root and canal morphology of the mandibular second molar teeth in an Iranian population. Material and Methods: One hundred intact human mandibular second molars were collected. The teeth were examined visually and the number of their roots were recorded. The teeth were covered using of lacquer. Access cavities were prepared...

  17. Use of the intraosseous screw for unilateral upper molar distalization and found well balanced occlusion

    Buyukyilmaz Tamer; Karaman Ali; Gelgor Ibrahim

    2006-01-01

    Abstract Background The aim of this study was to present a temporary anchorage device with intraosseous screw for unilateral molar distalization to make a space for the impacted premolar and to found well balanced occlusion in a case. Case presentation A 13-year-old male who have an impacted premolar is presented with skeletal Class I and dental Class 2 relationship. The screw was placed and immediately loaded to distalize the left upper first and second molar. The average distalization time ...

  18. Evaluation of treatment changes associated with maxillary molar distalization with the distal jet appliance

    Ashok Karad; Shruti Chhajed

    2014-01-01

    Objectives: Maxillary molar distalization is one of the non-extraction treatment options to gain space in the maxillary arch for the resolution of class II malocclusions. This retrospective clinical study was aimed at evaluating the nature of maxillary first molar movement after distalization with the distal jet and its effects on incisor position and facial soft-tissues. Materials and Methods: The study sample consisted of 22 subjects (10 boys, 12 girls) having an average age of 13.04 years ...

  19. Evaluation of treatment changes associated with maxillary molar distalization with the distal jet appliance

    Ashok Karad

    2014-01-01

    Full Text Available Objectives: Maxillary molar distalization is one of the non-extraction treatment options to gain space in the maxillary arch for the resolution of class II malocclusions. This retrospective clinical study was aimed at evaluating the nature of maxillary first molar movement after distalization with the distal jet and its effects on incisor position and facial soft-tissues. Materials and Methods: The study sample consisted of 22 subjects (10 boys, 12 girls having an average age of 13.04 years at the time of obtaining pre-treatment diagnostic records. The distal jet was the only appliance used during the distalization phase of treatment. All patients were treated by a single clinician with strict adherence to a standardized treatment protocol. The average duration of molar distalization was 6.09 months. Pre-treatment and postdistalization lateral cephalograms were obtained to analyze dentoalveolar and soft-tissue changes. Results: This study revealed that the maxillary first molars were distalized by an average of 4.29 mm into a class I molar relationship. In the process, the molars exhibited distal molar tipping (6.66° and extrusion (1.45 mm. The maxillary incisors were displaced and tipped labially by 1.89 mm and 2.84° respectively, leading to an increase in overjet by 0.86 mm and decrease in overbite by 0.98 mm. The soft-tissue changes involved upper and lower lip protrusion by 0.84 mm and 1.45 mm respectively, with an increase in lower facial height by 1.36 mm. Conclusion: This study confirmed the reliable and effective distalization of maxillary first molars with the distal jet, with certain undesirable and reciprocal effects on incisor position and minimal impact on the facial soft-tissues.

  20. Endodontic Retreatment of a Mandibular Second Molar with four Separate Roots: A Case Report

    Idris, Mohamed; Sakkir, Nasil; KJ, Nandakishore; Kini, Annapurna

    2014-01-01

    Aberrations in the root canal anatomy are a commonly occurring phenomenon. Although the mandibular second molar is commonly a bi-rooted tooth with an uncomplicated endodontic anatomy, variations have to be considered every time endodontic therapy is performed. This case report describes the non-surgical endodontic retreatment performed on a mandibular second molar with four seperate roots and canals. ProTaper Universal rotary nickel-titanium instruments (Dentsply Maillefer, Ballaigues, Switze...

  1. Endodontic management of permanent mandibular left first molar with six root canals

    Sachin Gupta; Shikha Jaiswal; Rohit Arora

    2012-01-01

    The endodontic treatment of a mandibular molar with aberrant canal configuration can be diagnostically and clinically challenging. This case report presents the treatment of a mandibular first molar with six root canals, of which three canals were located in the mesial root and three in distal root. Third canals were found between the two main root canals. This case presents a rare anatomic configuration and points to the importance of expecting and searching for additional canals.

  2. Evaluation of the anatomical alterations of lower molars mesial root?s apical third

    FRÖNER Izabel Cristina

    1999-01-01

    Full Text Available The anatomical apex of the mesial root of the lower molars presents a morphological complexity related to the number and shape of the root canals as well as of the apical foramen and isthmus presence. The knowledge of the complexity of the endodontic system of the molar root area is essencial to select more carefully the best instrumentation and obturation technique, to obtain a more successful endodontic therapy.

  3. Unerupted lower third molar extractions and their risks for mandibular fracture.

    Corra, Ana Paula Simes; Faverani, Leonardo Perez; Ramalho-Ferreira, Gabriel; Ferreira, Sabrina; vila Souza, Francisley; de Oliveira Puttini, Igor; Rangel Garcia-Jnior, Idelmo

    2014-05-01

    As every surgical procedure extraction of third molars can result in several complications, among them the mandibular angle fracture. Predisposing factors for fracture should be analyzed during and after the surgery. This paper aims to discuss the predisposing factors to the occurrence of mandibular angle fractures during and after the procedure for third molars extraction, as well as surgical principles to avoid this complication. PMID:24785744

  4. Changes in the Position of Mandibular Third Molars Following Extraction and Non-Extraction Orthodontic Treatments

    Maryam Poosti; Mohammad Basafa; Mohsen Hosseini; Farnaz Parvizi

    2012-01-01

    Introduction: Impaction of third molars can be associated with a number of sequelae, each requiring a different type of treatment. The purpose of this study was to assess the changes in the position of lower third molars following extraction and non-extraction orthodontic treatments. Methods: Pre- and post-treatment panoramic radiographs of 26 class I malocclusion patients (4 male and 22 female) who were treated on a non-extraction basis were compared with those of 30 class I malocclusion pat...

  5. Randomized Split-Mouth Study on Postoperative Effects of Palmitoylethanolamide for Impacted Lower Third Molar Surgery

    Christian Bacci; Giulia Cassetta; Bruno Emanuele; Mario Berengo

    2011-01-01

    The aim of this study was to assess the efficacy of Normast 300?mg in reducing swelling and pain after the surgical extraction of impacted lower third molars. Materials and Methods. A randomized, split-mouth, single-blind study was conducted on 30 patients between 18 and 30 years of age requiring lower third molar extraction. Patients underwent bilateral extractions in a randomized sequence, one extraction being performed under Normast treatment. The Normast treatment involved 2 tablets a day...

  6. Radiographic Evaluation of Third Molar Development in 5- to 25-Year Olds in Tehran, Iran

    Jafari, A; SZ. Mohebbi; Khami, MR.; M. Shakur Shahabi; Naseh, M.; F. Elhami; AR Shamshiri

    2012-01-01

    Objective: Radiographic evaluation of the third molar tooth to determine its position and degree of development is an important part in diagnosis and treatment planning, as well as in forensic dentistry procedures. The objective was to investigate the developmental stages of third molars in relation to chronologic age, gender and location (maxillary/mandibular) in an Iranian population.Materials and Methods: The data were collected in departments of pediatric dentistry and orthodontics, Tehra...

  7. Demystifying the mesiobuccal root of maxillary first molar using cone-beam computed tomography

    Karunakar, P.; Raji V Solomon; Chaitanya Byragoni; Lakshmi Sanjana; G Komali

    2015-01-01

    Context: Imaging techniques and endodontics are inseparable from each other as the former have always been the cornerstone for successful endodontic diagnosis and treatment. Aims: The objective of this study was to detect the presence of extra canals in the mesiobuccal root of the maxillary first molar using cone-beam computed tomography (CBCT). Materials and Methods: In this study, 75 freshly extracted human maxillary first molars were mounted on arches and exposed to CBCT and digita...

  8. Maxillary first Molar with three canal orifices in MesioBuccal root

    Leyla B Ayranci

    2011-01-01

    Full Text Available The present case describes root canal treatment in a maxillary first molar with unusual anatomy. A male patient was referred for the treatment of maxillary left first molar tooth. Clinical examination of the pulpal floor revealed 3 orifices in the mesio buccal root. The tooth was treated successfully. Anatomic variations must be taken into consideration in clinical and radiographic evaluation during endodontic treatment

  9. Radix Entomolaris in Mandibular First Molars in Indian Population: A Review and Case Reports

    Kanika Attam; Ruchika Roongta Nawal; Shivani Utneja; Sangeeta Talwar

    2012-01-01

    Purpose. The aim of this paper is to present cases of mandibular first molars with an additional distolingual root and their management using appropriate instruments and techniques. Basic Procedures and Main Findings. Mandibular molars can sometimes present a variation called radix entomolaris, wherein the tooth has an extra root attached to its lingual aspect. This additional root may complicate the endodontic management of the tooth if it is misdiagnosed or maltreated. This paper reviews th...

  10. Prevention of Localized Osteitis in Mandibular Third-Molar Sites Using Platelet-Rich Fibrin

    Hoaglin, Donald R.; Lines, Gary K.

    2013-01-01

    Purpose. To review our experience utilizing platelet rich fibrin (PRF), which is reported to aid in wound healing of extraction sites, for the prevention of localized osteitis following lower third-molar removal. Materials and Methods. PRF was placed in the mandibular third-molar extraction sites, 200 sites total, on 100 consecutive patients treated in our practice, by the authors. The patients were managed with standard surgical techniques, intraoperative IV antibiotic/steroid coverage, and ...

  11. Partial and apparent molar volumes of aqueous solutions of the 1:1 type electrolytes

    Formulas for calculating partial and apparent molar volumes of MX (M=Li-Cs; X = Cl-I) electrolyte aqueous solutions in a wide range of concentrations from 0 to 4 mol/kg with error not in excess of 0.05% are suggested. It is shown that the previously employed formulas for calculating partial molar volumes of electrolytes give false indications of mutual effect of ions and actually they are fit solely for very small concentrations

  12. Vital Pulp Therapy with Three Different Pulpotomy Agents in Immature Molars: A Case Report

    Harandi, Azadeh; Forghani, Maryam; Ghoddusi, Jamileh

    2013-01-01

    Introduction This case report describes apexogenesis treatment of three molar teeth of an 8-year-old boy using three different pulpotomy agents. Methods Pulpotomy was performed on decayed immature molar teeth with established irreversible pulpitis and the remaining pulp was capped with either zinc oxide eugenol, ProRoot mineral trioxide aggregate or calcium-enriched mixture (CEM) cement. Teeth were restored with stainless steel crowns. Results Eighteen months clinical and radiographic follow-...

  13. Permanent molar pulpotomy with a new endodontic cement: A case series

    Asgary Saeed; Ehsani Sara

    2009-01-01

    The aim of this case series was to determine the clinical and radiographic success rate of pulpotomy, with new endodontic cement (NEC), in human mature permanent molar teeth. Twelve molars with established irreversible pulpitis were selected from patients 14 - 62 years old. The selection criteria included carious pulp exposure with a positive history of lingering pain. After isolation, caries removal, and pulp exposure, pulpotomy with NEC was performed and a permanent restoration was immediat...

  14. Histological evaluation of pulp tissue from second primary molars correlated with clinical and radiographic caries findings

    Gopinath, Vellore Kannan; Anwar, Khurshid

    2014-01-01

    Background: Managing dental caries in young children is demanding due to the elusions present on the right diagnostic criteria for treatment. The present study evaluated the histological status of pulp tissues extracted from primary second molar with caries involvement. Histological findings are correlated with clinical and radiographic assessment. Materials and Methods: Simple experimental study was conducted on upper or lower second primary molars with occlusal (22 teeth) or proximal (22 te...

  15. Fracture Resistance of Pulpotomized Primary Molar Restored with Extensive Class II Amalgam Restorations

    F. Mazhari

    2008-06-01

    Full Text Available Objective: The aim of the present study was to evaluate fracture resistance of pulpoto-mized primary molar teeth restored with extensive multisurface amalgam restorations.Materials and Methods: Eighty extracted carious human primary molar teeth were se-lected forpresent study. Teeth were divided in to eight groups of ten. Mesio- or disto-occlusal and Mesio-occluso-distal cavities with different cavity wall thickness (1.5 or 2.5mm were prepared in both first and second primary molar teeth. After restoring teeth with amalgam, all specimens were stored in distilled water at 37°C for 7 days. Then samples were thermocycled for 1000 cycles from 5°C to 55°C. The specimens then were subjected to a compressive load in a universal testing machine at a crosshead speed of 0.5 mm min-1. ANOVA and t-test were used for statistical analysis.Results: Mean fracture resistance of first and second molar teeth were 975.5 N (SD=368.8 and 1049.2 N (SD=540.1 respectively. In the first molar group, fracture resis-tance of two-surface cavities was significantly more than three-surface cavities (P<0.001, however this difference was not statistically significant in the second molar group. In both first and second molar group, fracture resistance incavities with 2.5 mm wall thickness, was significantly more than the group with 1.5 mm wall thickness.Conclusion: The mean fracture resistance in pulpotomized primary molar restored with amalgam restorations was higher than reported maximum bite force in primary teeth even in extensive multi-surface restorations. Therefore, the teeth with large proximal carious lesions in schoolchildren could be restored with amalgam.

  16. Assessment of inferior wall in 123I-metaiodobenzylguanidine myocardial SPECT in diabetic patients

    A phantom experiment and a clinical assessment have been made with the purpose of investigating the causes of low accumulation and deficiency of the inferior wall in 123I-metaiodobenzylguanidine (MIBG) myocardial SPECT and the method for its evaluation. By the phantom experiment, assessments were made regarding (1) influence of the liver positioned adjacently; and (2) involvement of absorption and attenuation of the inferior wall. For the clinical assessment, 84 patients with diabetes in whom no abnormality was observed by exercise myocardial SPECT (201TlCl) and 5 cases of inferior myocardial infarction (OMI group) were adopted as subjects. The inferior walls were evaluated as visually deficient because of the adjacently-positioned liver, but no low value was exhibited by quantitative evaluation. By pulmonary mediastinal phantom (-), improvement of the inferior wall was observed visually and quantitatively, compared with pulmonary mediastinal phantom (+). By quantitative evaluation, the patients were classified into normal MIBG group (N group); segmentally deficient group (S group); and non-accumulated group (DH group). In addition, S group was classified by severity score into those from S1 to S4 groups. No significant difference was observed in Relative Regional Uptake (RRU) in the inferior wall between S4 group and OMI group. To sum up, we considered the causes for low accumulation and deficiency of the inferior wall, (1) adjacently-positioned liver; (2) absorption and attenuation; and (3) the lesion itself. Visual evaluation is not sufficient as the evaluating method. Quantitative evaluation becomes necessary. (author)

  17. Radiographic evaluation of third molar genesis in Greek orthodontic patients

    Barka G

    2013-09-01

    Full Text Available Georgia Barka,1 Konstantinos Marathiotis,2 Michael Protogerakis,3 Andreas Zafeiriadis4 1Department of Dentoalveolar Surgery, Implant Surgery and Radiology, School of Dentistry, Aristotle University of Thessaloniki, 2School of Biology, Faculty of Science and School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece; 3Clinical Implant Dentistry, School of Dental Sciences, Newcastle University, Newcastle Upon Tyne, UK; 4Department of Orthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece Objectives: The study reported here investigated the first radiographic evidence of third molar (M3 formation, their incidence and distribution as well as their congenital absence on the right or the left side in either the maxilla or the mandible, in both male and female Greek orthodontic patients. Materials and methods: A total of 618 panoramic radiographs were initially examined. After the application of inclusion/exclusion criteria, the group finally selected consisted of 428 patients (mean age 11.64 years, range 5–18: 179 males (mean age 11.73 ± 2.46 and 249 females (mean age 11.57 ± 2.45. The collected data were analyzed using SPSS software (IBM, Armonk, New York, NY, USA. The level of significance for all analyses was set to p = 0.05. The chi-square (χ2 test was used to assess the relationships between variables. The Wilcoxon’s signed-rank test and the Mann–Whitney U test were also used for comparisons as well as the Spearman’s rho test for correlations. Results: M3s were first detected in females at the age of 7 years whereas males followed one year later at the age of 8 years. A strong correlation between age and M3 development was revealed for both sexes (Spearman’s rho = 0.177, p = 0.05. Presence of all four M3s was the most common incidence (present in 70.8% of study subjects, followed by the agenesis of two (12.1%, agenesis of all four (8.4%, one (6.8%, and three (1.9% M3s. Congenitally missing M3s in all subjects showed a significantly greater predilection for the maxilla over the mandible (19.6% and 15.5%, respectively (Wilcoxon signed-rank test Z = −2.404, p = 0.016. However, the distribution was found equal between the two sides of the jaws. The difference between the absent frequencies of M3s in the mandible and the maxilla was found statistically significant for the total sample (McNemar’s test, p < 0.001 and for males (p = 0.041 as well. Conclusion: The study data may provide a reference for the M3 genesis in Greeks. Keywords: dental genesis, maxilla, mandible

  18. Removal versus retention of asymptomatic third molars in mandibular angle fractures: a randomized controlled trial.

    McNamara, Z; Findlay, G; O'Rourke, P; Batstone, M

    2016-05-01

    The treatment dilemma provided by asymptomatic third molars in mandibular angle fractures remains controversial. This prospective randomized controlled trial was undertaken to determine whether there is an advantage to extraction or retention of the third molar whilst repairing a mandibular angle fracture. Sixty-four patients were allocated randomly to the two treatment groups. All underwent open reduction and internal fixation (ORIF) with standard postoperative care. The primary outcome measure was uncomplicated fracture healing. Secondary measures were surgical duration, malocclusion, wound healing, nerve injury, and return to theatre. All patients had uncomplicated fracture healing. The incidence of nerve injury was 16% for the retention group compared with 39% for the removal group (P=0.038). The average operating time for ORIF and third molar retention cases was 58.5min and for ORIF and third molar removal cases was 66.3min (P=0.26). There was no statistically significant difference between groups for wound healing, occlusion outcomes, or return to theatre. Given the additional risk of nerve injury and the additional operating time required for removal of a third molar, in the absence of an absolute indicator for removal of the third molar, it appears justifiable to advise retaining the tooth in the line of a mandibular angle fracture. PMID:26867667

  19. Excess molar volumes of binary mixtures (an ionic liquid + water): A review

    Highlights: • Review of excess molar volumes for mixtures of (ionic liquids (ILs) + H2O). • 6 cation groups reviewed including imidazolium and pyrrolidinium groups. • 13 anions reviewed including tetraborate, triflate, and hydrogensulphate. • Effects of anion, cation, and temperature investigated. - Abstract: This review covers recent developments in the area of excess molar volumes for mixtures of {ILs (1) + H2O (2)} where ILs refers to ionic liquids involving cations: imidazolium, pyridinium, pyrrolidinium, piperidinium, morpholinium and ammonium groups; and anions: tetraborate, triflate, hydrogensulphate, methylsulphate, ethylsulphate, thiocyanate, dicyanamide, octanate, acetate, nitrate, chloride, bromide, and iodine. The excess molar volumes of aqueous ILs were found to cover a wide range of values for the different ILs (ranging from −1.7 cm3 · mol−1 to 1.2 cm3 · mol−1). The excess molar volumes increased with increasing temperature for all systems studied in this review. The magnitude and in some cases the sign of the excess molar volumes for all the aqueous ILs mixtures, apart from the ammonium ILs, were very dependent on temperature. This was particularly important in the dilute IL concentration region. It was found that the sign and magnitude of the excess molar volumes of aqueous ILs (for ILs with hydrophobic cations), was more dependent on the nature of the anion than on the cation

  20. Revolution vs status quo? Non-intervention strategy of asymptomatic third molars causes harm.

    Toedtling, V; Yates, J M

    2015-07-10

    The Faculty of Dental Surgery of the Royal College of Surgeons of England has prompted the National Institute for Health and Care Excellence to urgently re-assess the TA1 guidance on extractions of wisdom teeth and highlighted required amendments to the present version in light of published evidence concerning the harm caused by wisdom tooth retention. This article seeks to address the recent concerns relating the increasing frequency of distal-cervical caries in lower second molar teeth when associated with asymptomatic partially erupted mesial or horizontal impacted mandibular third molars. Such acute angle impactions are classified as partially erupted when one of the third molar cusps breached the epithelial attachment of the distal aspect of the second molar, thus prevents the formation of a gingival seal. At its earliest stage the wisdom tooth appears clinically absent or unerupted, yet histologically the architecture of the gingival epithelium has been disrupted allowing ingress of microbes, demineralisation and succeeding cavitation to take place on the distal aspect of the second molar. We hope to highlight the difficulties faced in addressing this growing clinical problem and encourage clinicians to re-evaluate their own caries risk assessment and caries prevention strategy in relation to mesial and horizontal third molar extractions. PMID:26159975

  1. Dental caries characteristics in the first permanent molar in school age children.

    Yoel González Beriau

    2009-04-01

    Full Text Available Background: Dental caries is one of the main health problems in children. The first permanent molar presents caries more frequently than any other. Objective: To describe the characteristics of dental caries in the first permanent molars in children between 6 and 13 years-old, and to assess oral hygiene and knowledge about the subject in all the patients treated in the stomatology consultation Barrio adentro “El Guapo”, from November 2005 to March 2006. Methods: A descriptive, transversal study showed that most of the patients had dental caries. It was proved that many of them had, at least, on of the first molars affected by dental caries. The quotient first molar affected/ patient was higher than one. Results: There was a decrease in the percentage of healthy permanent first molars. Poor oral hygiene prevailed, with a medium knowledge level on the subject. Most of the parents didn´t know about the first molar dental cavity. Conclusions: It was needed to perform educative tasks aimed at this age group to avoid further damage to this important tooth, central for the development of the stomatognathic system.

  2. Sharp mandibular bone irregularities after lower third molar extraction: Incidence, clinical features and risk factors

    Alves-Pereira, Daniela; Valmaseda-Castelln, Eduard; Laskin, Daniel M.; Berini-Ayts, Leonardo; Gay-Escoda, Cosme

    2013-01-01

    Objectives: The purpose of this study was to determine the incidence and clinical symptoms associated with sharp mandibular bone irregularities (SMBI) after lower third molar extraction and to identify possible risk factors for this complication. Study Design: A mixed study design was used. A retrospective cohort study of 1432 lower third molar extractions was done to determine the incidence of SMBI and a retrospective case-control study was done to determine potential demographic and etiologic factors by comparing those patients with postoperative SMBI with controls. Results: Twelve SMBI were found (0.84%). Age was the most important risk factor for this complication. The operated side and the presence of an associated radiolucent image were also significantly related to the development of mandibular bone irregularities. The depth of impaction of the tooth might also be an important factor since erupted or nearly erupted third molars were more frequent in the SMBI group. Conclusions: SMBI are a rare postoperative complication after lower third molar removal. Older patients having left side lower third molars removed are more likely to develop this problem. The treatment should be the removal of the irregularity when the patient is symptomatic. Key words:Third molar, postoperative complication, bone irregularities, age. PMID:23524429

  3. MOLAR. Measuring and modelling the dynamic response of remote mountain lake ecosystems to environmental change: A programme of Mountain Lake Research. MOLAR Project Manual. Draft of September 1996

    Wathne, B.M.

    1996-09-01

    This report lays down the practical working methods of the MOLAR project. Requirements on preparatory work and methods for sampling in the field are given in detail. Also sample handling after field work, where to send the sample material for further analysis and how to treat the results are described. 97 refs., 10 figs., 14 tabs.

  4. The pH-responsive behaviour of poly(acrylic acid) in aqueous solution is dependent on molar mass.

    Swift, Thomas; Swanson, Linda; Geoghegan, Mark; Rimmer, Stephen

    2016-02-23

    Fluorescence spectroscopy on a series of aqueous solutions of poly(acrylic acid) containing a luminescent label showed that polymers with molar mass, Mn acrylic acid). Below this molar mass, polymers remained in an extended conformation, regardless of pH. Above this molar mass, a pH-dependent conformational change was observed. Diffusion-ordered nuclear magnetic resonance spectroscopy confirmed that low molar mass polymers did not undergo a conformational transition, although large molar mass polymers did exhibit pH-dependent diffusion. PMID:26822456

  5. Non-inferiority clinical trials: Practical issues and current regulatory perspective

    Sandeep K Gupta

    2011-01-01

    Full Text Available Non-inferiority clinical trials are being performed with an increasing frequency now-a-days, because it helps in finding a new treatment that have approximately the same efficacy, but may offer other benefits such as better safety profile. Non-inferiority clinical trials aim to demonstrate that the test product is no worse than the comparator by more than a pre-specified small amount. There are several fundamental differences between non-inferiority and superiority trials. Some practical issues concerning the non-inferiority trials are assay sensitivity, choice of the non-inferiority margin, sample size estimation, choice of active-control, and analysis of non-inferiority clinical trials. For serious infections such as hospital-acquired bacterial pneumonia/ventilator-associated bacterial pneumonia, community-acquired bacterial pneumonia, and acute bacterial skin and skin structure infections, the United States Food and Drug Administration (US FDA has recently recommended that it is possible to define a reliable and consistent estimate of the efficacy of active treatment relative to placebo from available data, which can serve as the basis for defining a new inferiority margin for an active-controlled, non-inferiority trial. But for some indications with a high rate of resolution without antibacterial drug therapy such as acute bacterial sinusitis (ABS, acute bacterial exacerbation of chronic bronchitis (ABECB, and acute bacterial otitis media (ABOM, the US FDA has recommended that the available data will not support the use of a non-inferiority design and other trial designs (i.e., superiority designs should be used to provide the evidence of effectiveness in these three indications.

  6. TRAYECTO DEL NERVIO GLUTEO INFERIOR ASOCIADO A LA DIVISION ALTA DEL NERVIO ISQUIATICO INFERIOR GLUTEAL NERVE COURSE ASSOCIATED TO THE HIGH DIVISION OF THE SCIATIC NERVE

    Carla Gabrielli

    1997-01-01

    Full Text Available El nervio glúteo inferior, ramo del plexo sacro, abandona la pelvis pasando generalmente por debajo del músculo piriforme. De este plexo se origina también el nervio isquiático, el cual puede presentar variaciones en su relación con el músculo mencionado, entre ellas, las que se refieren a la división alta del mismo. Sin embargo, son escasos los trabajos que correlacionen esta división con el trayecto del nervio glúteo inferior y su relación con el músculo piriforme. Con el propósito de verificar una posible asociación entre los trayectos de estos nervios, fueron disecadas 80 regiones glúteas de cadáveres de individuos brasileños adultos en el Departamento de Morfología de la Universidade Federal de São Paulo. Se encontraron dos tipos de variación entre el nervio isquiático y el músculo piriforme: en 9 casos (11,2 % el nervio fibular común pasó a través del músculo y el nervio tibial transcurrió por debajo de su margen inferior (Tipo I; en dos casos (2,5 %, correspondientes a un mismo individuo, el nervio fibular común hizo su trayecto por sobre el margen superior del músculo piriforme y el nervio tibial pasó por debajo de su margen inferior (Tipo II. En el tipo I, el nervio glúteo inferior pasó a través del músculo en 6 casos y en los 3 restantes una parte del nervio perforó al músculo y la otra pasó por debajo de su margen inferior; en el tipo II, el nervio glúteo inferior transcurrió por debajo del margen inferior del músculo en uno de los casos y en el otro, una parte de este nervio se originó del nervio fibular común y la otra, pasó por debajo del margen inferior del músculo. El trayecto del nervio glúteo inferior a través del músculo piriforme podría estar relacionado con la atrofia glútea observada en los pacientes con "síndrome del músculo piriformeThe inferior gluteal nerve, branch of the sacral plexus, leaves the pelvis and passes usually below of the piriformis muscle. The sciatic nerve also comes from this plexus and can present distinct relationships with the mentioned muscle, among these ones it is found the one related to the high division of the nerve. However, the studies that correlates this division with the course of the inferior gluteal nerve and its relationship with the piriformis muscle are scarce. In order to verify a possible association between these anatomical structures, we dissected 80 gluteal regions of adult Brazilian cadavers. Two types of variations were found between the sciatic nerve and the piriformis muscle. The common fibular nerve pierced the muscle and the tibial nerve passed below of its inferior margin in 9 cases (11,2 %, corresponding to the type I; in 6 of these cases the trunk of the inferior gluteal nerve passed through the muscle and in just 3 cases, only a portion perforated the muscle. The type II was observed in 2 cases (2,5 %, corresponding to the same individual, in this type the common fibular nerve passed over the superior margin and the tibial nerve below of the inferior margin of the piriformis muscle. In the rigth side, the trunk of the inferior gluteal nerve passed below of the inferior margin of the muscle; in the left side, it is found only a portion of the nerve originated from the common fibular nerve and the other portion passed below the inferior margin of the muscle. The course of the inferior gluteal nerve through the piriformis muscle could be related to the gluteal atrophy observed in the patients with the "piriformis syndrome

  7. The inferior accessory hepatic fissure: an anatomic study using cadaver and CT

    To assess the shape and frequency of the inferior accessory hepatic fissure, authors observed 14 cadaveric livers and 100 abdominal CT scans. The inferior accessory hepatic fissure was present in eight of 14 cadaveric livers and eleven of 100 abdominal CT scans. A shallow notch was present in 46 of 100 CT scans and many of these notches may represent either shallow or deep fissures. The inferior accessory hepatic fissure is not a rare anatomic variation as the fissure was encountered in more than half of the cadavers and CT scans

  8. Tercer molar ectpico a nivel de regin infraorbitaria-seno maxilar Ectopic third molar of the maxillary sinus-infraorbital region

    C. Moreno Garca

    2007-06-01

    Full Text Available Introduccin. Los cordales ectpicos son aquellos incluidos en posiciones inusuales o desplazados a distancia de su normal localizacin anatmica. La erupcin ectpica de un diente dentro de la cavidad oral es comn pero en otros lugares es raro. La erupcin ectpica puede ir asociada con alteraciones en el desarrollo, procesos patolgicos o yatrogenia. Caso Clnico. Mujer de 56 aos de edad con tercer molar superior derecho ectpico a nivel de regin infraorbitaria-seno maxilar. Presentaba dolor e inflamacin hemifacial derecha de larga evolucin y resistente a tratamiento mdico. Se realiz exresis quirrgica de dicho cordal mediante abordaje de Caldwell-Luc. Discusin. En muchos casos la etiologa de un cordal ectpico no puede ser identificada. La mayor parte de las veces son asintomticos y diagnosticados mediante estudios radiolgicos. Conclusin. La indicacin de la exodoncia en el caso de un diente ectpico en general viene determinada por la presencia de sintomatologa o en prevencin de futuras complicaciones.Introduction. Ectopic third molar teeth are those that are impacted in unusual positions, or that have been displaced and are at a distance from their normal anatomic location. Ectopic eruption of a tooth within the oral cavity is common, but rare in other sites. Ectopic eruption can be associated with developmental disturbances, pathologic processes or iatrogenic activity. Case Report. Female, fifty-six years old, with an upper right ectopic third molar located in the maxillary sinus-infraorbital region. She presented with pain and inflammation of the right side of her face that she had been experiencing for along time and which had been resistant to treatment. Surgical excision was carried out of the third molar tooth using the Caldwell-Luc approach. Discussion. In many cases the etiology of ectopic third molars cannot be identified. Generally they are asymptomatic and diagnosed by radiology studies. Conclusion. The indication for extraction in ectopic teeth cases is in general determined by the presence of symptomatology, or by the need for preventing future complications.

  9. Comparison of cone beam computed tomography and conventional panoramic radiography in assessing the topographic relationship between the mandibular canal and impacted third molars

    To assess the diagnostic accuracy and value in an imaging technique field through the comparison of cone beam computed tomography and conventional panoramic radiography in assessing the topographic relationship between the mandibular canal and impacted third molars. Participants consisted of 100 patients offered the images through cone beam computed tomography and panoramic radiography. PSR-9000TM Dental CT system (Asahi Roentgen Ind. Co., Ltd, Japan) was used as the unit of cone beam computed tomography. CE-II (Asahi Roentgen Ind. Co., Ltd, Japan) and Pro Max (Planmeca Oy, Finland) were used as the unit of panoramic radiography. The images obtained through panoramic radiography were classified into 3 types according to the distance between mandibular canal and root of mandibular third molar. And they were classified into 4 types according to the proximity of radiographic feature. The images obtained through cone beam computed tomography based on the classification above were classified into 4 types according to the location between the mandibular canal and the root and were analyzed. And they were classified into buccal, inferior, lingual, and between roots, according to the location between mandibular canal and root. The data were statistically analyzed and estimated by x2-test. 1. There was no statistical significance according to 3 types (type I, type II, type III) through CBCT. 2. The results of 4 types (type A, type B, type C, type D) through CBCT were as high prevalence of CBCT 1 in type A, CBCT 2 in type B, CBCT 3 in type C, and CBCT1 in type D and those of which showed statistical significance (P value=0.03). 3. The results according to location between mandibular canal and root through CBCT recorded each 49, 25, 17, 9 as buccal, inferior, lingual, between roots. When estimating the mandibular canal and the roots through the panoramic radiography, it could be difficult to drive the views of which this estimation was considerable. Thus it is required to have an accurate diagnostic approaching through CBCT that could estimate the location between mandibular canal and roots.

  10. Prognostic factors in patients with inferior vena cava injuries.

    Rosengart, M R; Smith, D R; Melton, S M; May, A K; Rue, L W

    1999-09-01

    Inferior vena cava (IVC) injuries are potentially devastating insults that continue to be associated with high mortality despite advances in prehospital and in-hospital critical care. Between 1987 and 1996, 37 patients (32 males and 5 females; average age, 30 years) were identified from the trauma registry as having sustained IVC trauma. Overall mortality was 51 per cent (n = 19), with 13 intraoperative deaths and five patients dying within the first 48 hours. Blunt IVC injuries (n = 8) had a higher associated mortality than penetrating wounds (63% versus 48%). Of the 29 patients with penetrating IVC trauma, the wounding agent influenced mortality (shotgun-100% versus gunshot-43% versus stab-0%). Anatomical location of injury was also predictive of death [suprahepatic (n = 3)-100% versus retrohepatic (n = 9)-78% versus suprarenal (n = 6)-33% versus juxtarenal (n = 2)-50% versus infrarenal (n = 15)-33%]. A direct relationship existed between outcome and the number of associated injuries: nonsurvivors averaged four and survivors averaged three. Eighty per cent of patients sustaining four or more associated injuries died, by contrast to a 33 per cent mortality in those suffering less than four injuries. Physiological factors were also predictive of outcome. Patients in shock (systolic blood pressure or = 4.0-59% versus or = 4, and or = 10-73%). Interestingly, neither time from injury to hospital arrival (47.4 minutes versus 33.0 minutes) nor time in the emergency department before surgery (45.6 minutes versus 42.6 minutes) differed between survivors and fatalities. Mortality remained high in the 34 patients who had operative control of their IVC injuries [lateral repair (n = 27)-44% versus ligation (n = 6)-66% versus Gortex graft (n = 1)-0%]. As wounding agent, anatomical location, associated injuries, and physiological status seem to most directly impact mortality, future efforts must focus both on establishing prevention programs directed at reducing the incidence of this injury, as well as on advancing the management of those who do survive to hospitalization, if we are to improve on the outcome of these devastating injuries. PMID:10484088

  11. Ensaio de desbaste de ramos inferiores do cafeeiro II

    J. E. Teixeira Mendes

    1951-12-01

    Full Text Available Foi continuado o ensaio do desbaste dos ramos inferiores do cafeeiro, instalado na Estação Experimental Central de Campinas, em 1932. O ensaio compreende duas séries : a desbastada ; b não desbastada. Cada série se compõe de 5 repetições com 25 cafeeiros cada uma. A variedade em cultivo foi a Coffea arabica L. var. typica Cramer. A série desbastada foi mantida sem os ramos primários até uma altura de 50 cm do solo. Na série não desbastada não se interferiu de modo algum nessa parte da planta. As colheitas foram iniciadas em 1935. A série não desbastada produziu significativamente mais, no período todo examinado, isto é, em dezesseis safras (1935-1950. Não houve grande diferença no tamanho das sementes. A maturação foi um pouco apressada na série desbastada. O ensaio demonstra que não houve vantagem em se fazer esta operação.The experiment, begun at the Central Experiment Station at Campinas in 1932, on the pruning of the lower branches of coffee plants, has been continued. The trial contains two series, a pruned and b not pruned. Each series consists of five replicates, each with 25 coffee plants. The variety is Coffea arabica L. var. typica Cramer. The pruned trees were kept free from primary branches to a height of 50 cm. The unpruned trees were left entirely untouched in this region. Harvesting began in 1935. The unpruned trees have yielded significantly better (P = 5% over the period of the 16 years of the trial (1935-1950. There was no great difference in size of seeds. Ripening was advanced a little in the pruned trees. The experiment showed that there was no advantage to be gained by pruning ; on the contrary, the operation appears to be prejudicial to the yield.

  12. Stenting in malignant obstruction of inferior vena cava

    Objective: To evaluate the effectiveness of endovascular deployment of homemade metallic Z-type self-expandable stent in treating the patients with malignant obstruction of inferior vena cava (IVC). Methods: Seventy-eight [66 men, 12 women, mean age (50.45 +- 11.81) years, age range 20-78 years] patients with IVC obstruction due to malignant compression were enrolled into this study, including 66 cases of primary hepatic carcinoma and 12 cases of metastatic hepatic carcinoma. Before therapy every patient underwent CT, MRI or color doppler ultrasound examination and the diagnosis of IVC obstruction was made. All patients' clinical signs and symptoms due to malignant IVC syndrome were classified and scored. The venography was performed via right femoral vein and homemade metallic Z-type self-expandable stent was placed across the stenotic segment of IVC. The diameter of stenotic segment and the scores of patients' IVC syndrome were compared before and after stent placement. The patency of IVC was followed by CT, color doppler ultrasound or venography every two months. The primary and secondary patency of IVC were calculated respectively. Data were analyzed by paired-sample rank sum test. Results: The length of IVC stenosis was 1.5-18.5 cm (median length was 7.2 cm) and 94 stents were precisely placed across the stenotic segment of patients' IVC. The length of stent in patients' IVC was 7.5 - 20.0 cm (median length was 10.0 cm). Technical successful rate of stent placement was 98%. The diameter of stenotic segment of IVC was increased from 0-0.5 cm (median 0.15 cm) to 0.3-1.6 cm (median 1 cm) (Z=-54.365, P < 0.0001) and scores of patients' IVC syndrome were declined from 4-5 (median 4) to 0-2 (median 0) (Z = -56.132, P < 0.0001). The difference showed statistical significance. There was no serious procedure-related complication except one patient experienced acute thrombosis in IVC on the second day after therapy. The primary and secondary patency of IVC was 83% and 93%, respectively. Conclusion: Endovascular deployment of homemade metallic Z-type self-expandable stent was an effective palliative treatment for patients with malignant obstruction of IVC

  13. TRAYECTO DEL NERVIO GLUTEO INFERIOR ASOCIADO A LA DIVISION ALTA DEL NERVIO ISQUIATICO INFERIOR GLUTEAL NERVE COURSE ASSOCIATED TO THE HIGH DIVISION OF THE SCIATIC NERVE

    Carla Gabrielli; Enrique Olave; Eduardo Mandiola; Célio F. S. Rodrigues

    1997-01-01

    El nervio glúteo inferior, ramo del plexo sacro, abandona la pelvis pasando generalmente por debajo del músculo piriforme. De este plexo se origina también el nervio isquiático, el cual puede presentar variaciones en su relación con el músculo mencionado, entre ellas, las que se refieren a la división alta del mismo. Sin embargo, son escasos los trabajos que correlacionen esta división con el trayecto del nervio glúteo inferior y su relación con el músculo piriforme. Con el propósito de verif...

  14. Efficacy of 2% mepivacaine and 2% lignocaine in the surgical extraction of mesioangular angulated bilaterally impacted third molars: A double-blind, randomized, clinical trial

    Barath, S.; Triveni, V. S. S.; Sai Sujai, G. V. Naga; Harikishan, G.

    2015-01-01

    Objective: The purpose of this prospective, randomized, double-blind study was to compare the anesthetic efficacy of 2% mepivacaine and 2% lidocaine (both with 1:80,000 epinephrine) for inferior alveolar nerve block in mesioangular bilaterally impacted third molar extraction. Study Design: Forty patients with mesioangular bilaterally impacted third molars were taken for the study; either 2% mepivacaine or 2% lidocaine is given in a double-blind manner. Surgery started 5 min after solution deposition. Success was defined as no or mild discomfort (visual analog scale [VAS] recordings) during the surgical procedure. Results: The mean time for onset period 4.2 min and 4.6 min (P = 0.018). The mean duration anesthesia 177.17 min 166.71 min (P = 0.085). No significant difference between the scores of pain reported by the patients by VAS and venovenous bypass treated with mepivacaine and lidocaine (P = 0.000). Slight increased postoperative analgesics required for mepivacaine group (4.000 tablets) and lidocaine group (4.170 tablets) (P = 0.335). The sharp increase of pulse rate with respect to both the solutions at 5 min after postinjection of local anesthetics. However, there was no statically significant difference in systolic and diastolic blood (P = 0.681) and (P = 0.270). Conclusion: Lidocaine and mepivacaine with the same vasoconstrictor have similar action and both solutions are effective in surgical procedures. There were also no significant differences between them in relation to the intensity of postoperative pain. PMID:26538927

  15. Clinical comparative study between the use of lasers and conventional methods of diagnosis and treatment in deciduous teeth with presence of carious lesion; Estudo clinico comparativo entre o uso de lasers e metodos convencionais de diagnostico e tratamento em dentes deciduos da presenca de lesao cariosa

    Pulga, Fabiane Galvao

    2001-07-01

    The aim of this work was to evaluate the efficiency of deciduous tooth cavity preparation by the Er:YAG laser in comparison with the conventional burr rotary instrument. Besides, we have used the laser fluorescence technique (DIAGNOdent equipment) for diagnosis and compared it to the usual tactile and visual examination as well as X-ray diagnosis. For this purpose, 20 chronic occlusal carious deciduous molar teeth from children with the ages between 5 to 10 years old were selected. Selection was ma de according to visual inspection, X-ray periapical image and measures of the DIAGNOdent. For treatment the teeth were divided in two groups, 10 to be treated by the Er:YAG laser and 10 with conventional burr. For enamel, the laser energy used was in the interval from 200 to 300 mJ; for the dentine the range was from 100 mJ to 200 mJ. In both cases, the laser frequency was in the range from 2 to 4 Hz. The results have shown that the laser treatment was more accepted by the children than the conventional burro Clinical evaluation of the cavity preparation indicates that the Er:YAG laser treatment is recommend. The DIAGNOdent evaluation method was very effective for diagnosis of carious tissue for initial detection. After successful removal of the carious tissue, confirmed by visual inspection, the DIAGNOdent evaluation method was only effective for the treatment with conventional burro For evaluation of the tooth after cavity preparation with the Er:YAG laser, the measurements oscillate covering the full range of the equipment. Therefore, the use of the DIAGNOdent equipment is indicated only for initial caries diagnosis. (author)

  16. The Component Slope Linear Model for Calculating Intensive Partial Molar Properties: Application to Waste Glasses

    Reynolds, Jacob G. [Washington River Protection Solutions, Richland, WA (United States)

    2013-01-11

    Partial molar properties are the changes occurring when the fraction of one component is varied while the fractions of all other component mole fractions change proportionally. They have many practical and theoretical applications in chemical thermodynamics. Partial molar properties of chemical mixtures are difficult to measure because the component mole fractions must sum to one, so a change in fraction of one component must be offset with a change in one or more other components. Given that more than one component fraction is changing at a time, it is difficult to assign a change in measured response to a change in a single component. In this study, the Component Slope Linear Model (CSLM), a model previously published in the statistics literature, is shown to have coefficients that correspond to the intensive partial molar properties. If a measured property is plotted against the mole fraction of a component while keeping the proportions of all other components constant, the slope at any given point on a graph of this curve is the partial molar property for that constituent. Actually plotting this graph has been used to determine partial molar properties for many years. The CSLM directly includes this slope in a model that predicts properties as a function of the component mole fractions. This model is demonstrated by applying it to the constant pressure heat capacity data from the NaOH-NaAl(OH{sub 4}H{sub 2}O system, a system that simplifies Hanford nuclear waste. The partial molar properties of H{sub 2}O, NaOH, and NaAl(OH){sub 4} are determined. The equivalence of the CSLM and the graphical method is verified by comparing results detennined by the two methods. The CSLM model has been previously used to predict the liquidus temperature of spinel crystals precipitated from Hanford waste glass. Those model coefficients are re-interpreted here as the partial molar spinel liquidus temperature of the glass components.

  17. Dentoskeletal effects induced by rapid molar distalization with the first class appliance.

    Fortini, Arturo; Lupoli, Massimo; Giuntoli, Fabio; Franchi, Lorenzo

    2004-06-01

    The purpose of this study was to evaluate the treatment effects of the first class appliance (FCA; Leone, Firenze, Italy), a new intraoral device for unilateral or bilateral rapid molar distalizaton. A retrospective study was conducted to compare the predistalization and postdistalization cephalograms of 17 patients (10 male, 7 female) with Class II malocclusions treated with the FCA. Mean age at the start of treatment was 13 years 4 months. The FCA produced rapid molar distalization, and the bilateral Class II molar relationship was corrected in 2.4 months, on average. Maxillary molar distalization contributed to 70% of the space created anterior to the first molars; 30% of the space was due to reciprocal anchorage loss of the maxillary second premolars. The maxillary first molars showed a significant distalization of 4.0 mm, associated with a significant distal axial incline of 4.6 degrees and a significant extrusion of 1.2 mm. As for anchorage loss, the second premolars exhibited a significant mesial movement of 1.7 mm, associated with a significant mesial axial incline of 2.2 degrees and a nonsignificant extrusion of 1.0 mm. In the anterior region, a significant mesial movement of the maxillary incisor of 1.3 mm was associated with a significant incisor proclination (2.6 degrees ) and a significant increase in overjet (1.2 mm). No significant changes in either sagittal or vertical skeletal relationships were observed. The results suggest that the FCA is an efficient and reliable device for distalizing the maxillary permanent first molars. PMID:15179394

  18. Decision making in third molar surgery: a survey of Brazilian oral and maxillofacial surgeons.

    Camargo, Igor Batista; Melo, Auremir Rocha; Fernandes, Andr Vajgel; Cunningham, Larry L; Laureano Filho, Jos R; Van Sickels, Joseph E

    2015-08-01

    This study was designed to evaluate the variations in decision making among Brazilian oral and maxillofacial surgeons (OMFS) and trainees in relation to third molar surgery. A survey on 18 diverse clinical situations related to the assessment and treatment of the third molar surgeries was conducted during the 20th Brazilian National OMFS meeting. Participants were divided into three groups according to their level of training. Another variable studied was length of experience. Correlation between the question answers and the variables was analysed using the chi-square test and the f test. The mean age of participants was 32.68 years, and their mean length of experience was 5.24 years. There were no statistical differences between the level of training and number of years of experience and the responses to 15 of the 18 questions on clinical situations. However, differences were found in responses to prophylactic extraction of asymptomatic third molars, use of non-steriodal anti-inflammatory drugs (NSAIDs) during the preoperative surgical period and the use of additional imaging to plan extractions. The group with shorter time of experience (3.8 3.94 years) tended to recommend extractions of asymptomatic third molars more frequently compared with the more experienced surgeons (P = 0.041). More experienced surgeons used NSAIDs in the preoperative surgical period, whereas the majority of the youngest surgeons (4.1 5.96 years of experience) did not (P = 0.0042). The certificated trained and in practice group tended to treat deep lower third molar impactions based on the findings of a panoramic radiograph, without obtaining additional imaging [cone beam computed tomography (CBCT)] before treatment (P = 0.0132). Decision making regarding third molar treatment differs according to the level of training and is influenced by the number of years of experience. Therefore, further continuous education programmes in this area are warranted to make recommendations regarding third molars consistent with the current literature. PMID:25879578

  19. Analysis and evaluation of relative positions of mandibular third molar and mandibular canal impacts

    Kim, Hang-Gul

    2014-01-01

    Objectives This study used cone-beam computed tomography (CBCT) images to categorize the relationships between the mandibular canal and the roots and investigated the prevalence of nerve damage. Materials and Methods Through CBCT images, contact and three-dimensional positional relationships between the roots of the mandibular third molar and the mandibular canal were investigated. With this data, prevalence of nerve damage according to the presence of contact and three-dimensional positional relationships was studied. Other factors that affected the prevalence of nerve damage were also investigated. Results When the mandibular third molar and the mandibular canal were shown to have direct contact in CBCT images, the prevalence of nerve damage was higher than in other cases. Also, in cases where the mandibular canal was horizontally lingual to the mandibular third molar and the mandibular canal was vertically at the cervical level of the mandibular third molar, the prevalence of nerve damage was higher than in opposite cases. The percentage of mandibular canal contact with the roots of the mandibular third molar was higher when the mandibular canal was horizontally lingual to the mandibular third molar. Finally, the prevalence of nerve damage was higher when the diameter of the mandibular canal lumen suddenly decreased at the contact area between the mandibular canal and the roots, as shown in CBCT images. Conclusion The three-dimensional relationship of the mandibular third molar and the mandibular canal can help predict nerve damage and can guide patient expectations of the possibility and extent of nerve damage. PMID:25551092

  20. The Component Slope Linear Model for Calculating Intensive Partial Molar Properties: Application to Waste Glasses

    Partial molar properties are the changes occurring when the fraction of one component is varied while the fractions of all other component mole fractions change proportionally. They have many practical and theoretical applications in chemical thermodynamics. Partial molar properties of chemical mixtures are difficult to measure because the component mole fractions must sum to one, so a change in fraction of one component must be offset with a change in one or more other components. Given that more than one component fraction is changing at a time, it is difficult to assign a change in measured response to a change in a single component. In this study, the Component Slope Linear Model (CSLM), a model previously published in the statistics literature, is shown to have coefficients that correspond to the intensive partial molar properties. If a measured property is plotted against the mole fraction of a component while keeping the proportions of all other components constant, the slope at any given point on a graph of this curve is the partial molar property for that constituent. Actually plotting this graph has been used to determine partial molar properties for many years. The CSLM directly includes this slope in a model that predicts properties as a function of the component mole fractions. This model is demonstrated by applying it to the constant pressure heat capacity data from the NaOH-NaAl(OH4H2O system, a system that simplifies Hanford nuclear waste. The partial molar properties of H2O, NaOH, and NaAl(OH)4 are determined. The equivalence of the CSLM and the graphical method is verified by comparing results detennined by the two methods. The CSLM model has been previously used to predict the liquidus temperature of spinel crystals precipitated from Hanford waste glass. Those model coefficients are re-interpreted here as the partial molar spinel liquidus temperature of the glass components

  1. Conventional root canal therapy of C-shaped mandibular second molar. A case report.

    Lynn, Evan A

    2006-11-01

    The C-shaped root canal system and treatment implications were first described by Cooke and Cox in 1979. C-shaped canals are most frequently found in mandibular second molars, but they can occur in any mandibular molar, and they have been reported in maxillary molars as well. C-shaped mandibular molars are characterized by a C-shaped groove that connects one or more root canals. This groove can occur anywhere along the root canal system, making it difficult to diagnose and treat. A C-shaped root canal system may appear completely normal at the level of the pulp chamber but can begin to manifest itself in the middle or apical one-third. Furthermore, C-shaped canals are challenging if not impossible to predict radiographically. C-shaped canals in mandibular second molars are found most frequently in the Chinese population, with reports showing up to a 31.5% incidence, as compared to an approximate 7% incidence in the general population. This case report demonstrates an incidence of a C-shaped canal that was unable to be detected radiographically and which contained three separate root canals that communicated in the apical one-third of the root canal system. Canal orifices were located approximately 2 mm below the level of the CEJ, which is in agreement with a recent micro-computed tomography study of C-shaped mandibular molars that found 98% of all C-shaped molars studied had orifices located 1 mm to 3 mm below the CEJ. The CT study also found that all C-shaped canals contained fused roots and confirmed previous findings that the C-shape configuration varies greatly throughout the length of the canal. PMID:17203853

  2. Methodological standards in non-inferiority AIDS trials: moving from adherence to compliance: Response

    van Leth Frank

    2007-03-01

    Full Text Available Abstract A response to Parienti JJ, Verdon R and Massari V: Methodological standards in non-inferiority AIDS trials: moving from adherence to compliance. BMC Med Res Meth 2006, 6:46

  3. Spending Power and match attendance: is Romanian football a normal or an inferior good?

    Vlad RO?CA

    2012-10-01

    Full Text Available Drawing on a database containing information on spending power of individuals and match attendance in the national football championship for 2006-2010, this research has the purpose to find out whether Romanian football is a normal or an inferior good. For making the correlation between the two economic proxys, the bivariate analysis function in SPSS was used. The results show a significant and negative correlation between the variables, indicating that football is an inferior good. In the discussion section, the paper presents some of the reasons that made local soccer reach inferiority and shows suggestions that could be implemented in order to not allow further coverage and attendance losses to occur due to the inferior status. The paper contributes to a better understanding of the local football industry, the latter one lacking economic and business oriented management which could make it more performant.

  4. Incidental Finding of Inferior Vena Cava Atresia Presenting with Deep Venous Thrombosis following Physical Exertion

    Shalini Koppisetty; Alton G. Smith; Dhillon, Ravneet K.

    2015-01-01

    Inferior vena cava atresia (IVCA) is a rare but well described vascular anomaly. It is a rare risk factor for deep venous thrombosis (DVT), found in approximately 5% of cases of unprovoked lower extremity (LE) DVT in patients

  5. Subciliary Approach for Inferior Orbital Rim Fractures; Case Series and Literature Review

    Seyed Mohammad Motamed al Shariati; Mostafa Dahmardeh Zahedan; Hassan Ravari

    2014-01-01

    Objectives: To report the outcome of subciliary approach for inferior orbital rim fractures in a series of Iranian patients. Methods: This was prospective cross-sectional, being performed during a 12-month period during 2013 in plastic surgery department of Emamreza Hospital of Mashhad. We included 12 patients with traumatic inferior orbital rim fractures who underwent surgical repair through subciliary approach. All the patients were followed for 12 months and were evaluated regar...

  6. Ejection Fraction and Mortality Rate of Patients with Isolated Acute Inferior Myocardial Infarction Reperfused by Streptokinase

    Beiraghdar, Mozhdeh; Pourmoghaddas, Zahra; Reza Torknezhad, Mohammad; Torkan, Ali

    2011-01-01

    BACKGROUND This study aimed to evaluate the effects of streptokinase on left ventricular ejection fraction and mortality rate of patients with inferior acute myocardial infarction (AMI) without right ventricular myocardial infarction (RVMI). METHODS Fifty five consecutive patients with the diagnosis of inferior AMI without RVMI in the coronary care unit (CCU) of Shariati Hospital in Isfahan were selected for this study. Patients who had a history and/or electrocardiogram (ECG) evidence of pre...

  7. Rezeptorarchitektonische Kartierung der Broca-Region und angrenzender Areale im posterioren inferior-frontalen Kortex

    Falk, Marianne

    2008-01-01

    In order to enhance our functional and anatomical understanding of Broca’s region and neighbouring areas in the posterior inferior-frontal cortex, a multimodal parcellation was conducted to create the foundation for a reliable localisation of functional activations. The present doctoral thesis gives the first complete, comprehensive receptor architectonic description of the posterior inferior-frontal cortex. The laminar and regional distribution patterns of the neurotransmitters noradrenalin,...

  8. Computerized tomography angiography in preoperative assessment of intravenous leiomyomatosis extending to inferior vena cava and heart

    Gui, Ting; Qian, Qiuhong; Cao, Dongyan; YANG, JIAXIN; Ping PENG; SHEN, KENG

    2016-01-01

    Background Intravenous leiomyomatosis (IVL) extending to inferior vena cava and heart is one of the most challenging conditions for surgical treatment. We explored the use of computerized tomography angiography (CTA) in preoperative assessment for this disease. Methods A cohort of 31 patients with IVL extending to inferior vena cava and heart were reviewed from the year 2002 to 2014, focusing on the preoperative CTA imaging characteristics and the surgical procedures in clinical treatment. Re...

  9. Spending Power and match attendance: is Romanian football a normal or an inferior good?

    Vlad ROŞCA

    2012-01-01

    Drawing on a database containing information on spending power of individuals and match attendance in the national football championship for 2006-2010, this research has the purpose to find out whether Romanian football is a normal or an inferior good. For making the correlation between the two economic proxys, the bivariate analysis function in SPSS was used. The results show a significant and negative correlation between the variables, indicating that football is an inferior good. In the di...

  10. Naming difficulties in alexia with agraphia for kanji after a left posterior inferior temporal lesion.

    Sakurai, Y.; Sakai, K.; Sakuta, M; Iwata, M.

    1994-01-01

    The case is described of a patient with alexia and agraphia for kanji, and severe anomia after a subcortical haemorrhage in the left posterior inferior temporal area. Magnetic resonance imaging at four months after onset showed a lesion in the inferior temporal and fusiform gyri, extending from the temporo-occipital junction toward the anterior third of the temporal lobe. Comparison with other reported cases of alexia with agraphia and anomia made it clear that when accompanied by severe anom...

  11. Inferior Alveolar Nerve Injuries Following Implant Placement - Importance of Early Diagnosis and Treatment: a Systematic Review

    Ilana Shavit; Gintaras Juodzbalys

    2014-01-01

    Objectives: The purpose of this article is to systematically review diagnostic procedures and risk factors associated with inferior alveolar nerve injury following implant placement, to identify the time interval between inferior alveolar nerve injury and its diagnosis after surgical dental implant placement and compare between outcomes of early and delayed diagnosis and treatment given based on case series recorded throughout a period of 10 years. Material and Methods: We performed liter...

  12. A case series of duplicated inferior vena cava: mind the side, or fail to trap!

    Tong, Zhu; Gu, Yongquan

    2015-01-01

    Purpose: The incidence of duplicated inferior vena cava (IVC) ranges between 0.2-3%. Methods: The objective of this report is to showcase malformation of inferior vena cava in a series of authors own case studies. We also discuss the abnormal embryogenesis that results in this and the clinical management aspects of duplicated IVC. Results: Our findings suggest that it is important to recognize congenital anomaly such as duplicated IVC, especially prior to an invasive procedure.

  13. Arthroscopic autograft reconstruction of the inferior glenohumeral ligament: Exploration of technical feasibility in cadaveric shoulder specimens

    Samy Bouaicha

    2013-01-01

    Full Text Available Failure of primary arthroscopic Bankart repair in anterior-inferior glenohumeral instability is low, but in some cases revision surgery is required. Revision procedures show good to excellent results but typically are done open and do not respect the anatomical functionality of the joint capsule. The purpose of this cadaveric study was to explore the feasibility of a completely arthroscopic anatomical reconstruction of the inferior glenohumeral ligament using a hamstring autograft.

  14. Prevalence, morphological and electrophysiological characteristics of confluent inferior pulmonary veins in patients with atrial fibrillation

    Although the common trunk of left pulmonary veins (PVs) has been reported as a relatively popular anatomical variation of PVs, little is known about the coalescence of contralateral PVs. The present study was conducted to reveal the prevalence and electrophysiologic characteristics of the confluent inferior common PVs. Anatomical variation in the PV drainage to the left atrium (LA) was assessed using the multidetector computed tomography scan in 326 patients with atrial fibrillation (AF) who underwent the PV isolation procedure. Coalescence of inferior PVs was observed in 5 cases (1.5%). Both inferior PVs conjoined prior to the junction with the LA in 3 cases, while they coalesced at the LA junction in the other 2 cases. The arrhythmogenic activities of the confluent inferior PVs were generally low in all cases without any ectopic firings triggering the observed AF. All inferior PVs, as well as the superior PVs, were successfully isolated either en bloc at the common trunk or individually at the orifice of each PV. Confluent inferior PVs were present in 1.5% of cases in patients with AF who underwent the PV isolation procedure. Preoperative recognition of this venous anomaly by 3-dimensional imaging is important for smooth and safe ablation. (author)

  15. Mandibular molar displacement secondary to the use of forces to retract the maxilla.

    Ben-Bassat, Y; Baumrind, S; Korn, E L

    1986-01-01

    Using previously described computer-aided techniques, we have been able to characterize quantitatively the displacements of the lower first molar associated with the use of several different therapeutic modalities that are conventionally employed to retract the maxilla in the treatment of Class II malocclusion. The total displacement of the molar has been partitioned into two components associated respectively with displacement of the entire mandible and with local interosseous migration (dental compensation) of the molar within the mandible. A further attempt has been made to partition treatment-associated effects from nontreatment-associated effects. While considerable variability in effect was observed within each sample on a case-by-case basis, some important normative trends did emerge. Contrary to our expectations, it was found that in each of the treatment groups, the mean local intraosseous rotational effect (Table IIB.2) was of greater magnitude than the mean effect of mandibular rotation (Table IIB.1). The character of the intraosseous rotation differed significantly (P less than 0.05) between the control group and each of the treatment groups. In the control group, a mean mesial crown tipping (that is, "proclination") was noted. In each of the treatment groups, a mean distal crown tipping ("uprighting") was noted. In both the cervical and intraoral groups, the lower molar tended to displace mesially more than in the control or high-pull groups. This mesial displacement derived from the mesial displacement of the mandible (Table IIC.3), rather than from displacement of the tooth within the bone (Table IIC.4). In both the high-pull and the intraoral groups, the lower molar erupted within the mandible significantly more than in the control and cervical groups (Table IIC.6). The statistically significant supereruption/extrusion of the upper molar in the cervical group (Table IIC.2) was not accompanied by an associated inhibition of the eruption of the lower first molar (Table IIC.6). In general, it seems reasonable to infer that the growth-related displacement of the mandible influenced the final position of the lower first molar more profoundly than did the treatment-associated displacement of the upper molar. PMID:3455792

  16. Evaluation of root canal morphology of human primary molars by using CBCT and comprehensive review of the literature.

    Ozcan, Gozde; Sekerci, Ahmet Ercan; Cantekin, Kenan; Aydinbelge, Mustafa; Dogan, Salih

    2016-05-01

    Objective Knowledge of primary tooth morphology is essential for clinical dentistry, especially for root canal treatment and dental traumatology. However, this has not been well documented to date with a large sample. This study was carried out to investigate the variation in number and morphology of the root canals of the primary molars, to study the applicability of cone beam computerized tomography (CBCT) in assessing the same and to provide a comprehensive review of the literature. Materials and methods A total of 343 primary molars, without any root resorption, were divided into four main groups including the maxillary first molars, maxillary second molars, mandibular first molars and mandibular second molars. All of them were analysed in CBCT images in the axial, sagittal and coronal planes. Various parameters such as the number of roots, number of canals, the root canal type, diameter of root and root canal and root canal curvature were studied. Results Primary molars in all four groups showed variability in the number of roots and root canals. As far as length of the roots was concerned, the palatal root of the maxillary molar was found to be longest, while the distobuccal root was shortest. In mandibular molars, the mesial root was longer than the distal root. The length of distobuccal root canal of the maxillary molars and the distolingual canal of the mandibular molars was found to be shortest. The number of roots and root canals varied from two to four and three to four, respectively. The maxillary molars exhibited more one-canal than two-canal roots. Conclusion The present study provides comprehensive information to the existing literature concerning the variation in root canal morphology of the maxillary and mandibular primary molar teeth. These data may help clinicians in the root canal treatment of these teeth. PMID:26523502

  17. An evaluation of third molar eruption for assessment of chronologic age: A panoramic study

    Monica Tuteja

    2012-01-01

    Full Text Available Objectives: The identity of a person can be established by assessing one′s age, and in order to be entitled to civil rights and social benefits, verification of the chronological age is required and thereby age estimation has gained an increasing significance in recent years. Tooth eruption is one of the criteria of developmental morphology that can be evaluated by either clinical examination or by evaluation of dental radiographs to determine the dental age. The present study was aimed to evaluate the reliability of the third molar eruption stage as a parameter for forensic age estimation in living subjects. Materials and Methods: The stage of wisdom tooth eruption in 77 male and 73 female Indian subjects aged between 12-26 years was determined by subjecting them to conventional orthopantomograms and was interpreted to assess the third molar eruption stages to evaluate the dental age. Results: Predicted minimum age and mean age of the study sample were found to be significant predictors (P<0.001 of actual age. Minimum age was able to explain 58.3% of the variation in actual age and the mean age was able to explain 60.3% of variation in actual age. Conclusion: Third molar is fairly a reliable indicator to determine the age of alveolar, gingival, and complete emergence of third molar in the occlusal plane in adolescents and young adults. Minimum and most probable ages of examined subjects can also be evaluated using third molar eruption stage.

  18. Patient anxiety and surgical difficulty in impacted lower third molar extractions: a prospective cohort study.

    Aznar-Arasa, L; Figueiredo, R; Valmaseda-Castelln, E; Gay-Escoda, C

    2014-09-01

    Encountering patients who are fearful and anxious is common in dental practice and these factors can increase the complexity of dental procedures. A prospective cohort study was performed to assess whether patient anxiety influences the difficulty of impacted lower third molar extraction and to identify other predictive factors of surgical difficulty; 102 extractions done under local anaesthesia were assessed. Several preoperative variables were recorded (demographic, anatomical, and surgical) and patient anxiety was assessed through the use of various questionnaires. Extraction difficulty was measured using the operation time (OT) and a 100-mm visual analogue scale (difficulty VAS) completed by the surgeon. Patients with deep impacted third molars that required bone removal and tooth sectioning showed higher levels of preoperative anxiety. Significant correlations were found between questionnaire scores and the surgical difficulty (OT and difficulty VAS). OT was also related to age, depth of impaction, third molar angulations, proximity of the third molar roots to the mandibular canal, hard and soft tissue coverage, and the need to perform an ostectomy and tooth sectioning. Impacted lower third molar extraction is significantly more difficult in anxious patients. Other demographic, radiological, and surgical factors were also found to be significantly related to the surgical difficulty. PMID:24837553

  19. Molar optimization of spray pyrolyzed SnS thin films for photoelectrochemical applications

    Highlights: • The molar ratio of Sn and S precursors were optimized in sprayed SnS thin films. • The S atomic percentage was found to increase linearly with thiourea concentration. • Optimized film had flat band potential of −0.57 V and a photocurrent of 0.4 mA cm−2. • A molar ratio between 1:1.3 and 1:1.4 is optimum for device application. - Abstract: A systematic investigation of the effect of molar concentration ratio on the structural, morphological, optical and opto-electronic properties of spray deposited SnS thin films on F:SnO2 coated glass substrate is presented. The as-deposited SnS was polycrystalline with orthorhombic crystal symmetry. The S atomic percentage of SnS film was found to be linear with respect to the molar concentration of thiourea for fixed concentration of SnCl2. An optimum molar concentration ratio of S2−/Sn2+ in the range of 1.3–1.4 was found superior for photoelectrochemical applications

  20. Molecular Descriptors Family on Structure Activity Relationships 4. Molar Refraction of Cyclic Organophosphorus Compounds

    Lorentz JÄNTSCHI

    2005-06-01

    Full Text Available The molecular descriptors family on structure activity relationships methodology was applied on ten cyclic organophosphorus compounds in order to predict theirs molar refraction. A number of 107692 significantly different MDF members enter into a multiple linear regression analysis. A pair of descriptors (lGDmSMt, lAmrfEt, which have the best performing ability in prediction of molar refraction of cyclic organophosphorus compounds, was found and a bi-varied MDF SAR model was built. After performing leave-one-out cross-validation, satisfactory result was obtained with cross-validation r2cv and r2 values of 0.9999 and 0.9999. The external validation of the bi-varied MDF SAR model and its ability in prediction of molar refraction of cyclic organophosphorus compounds is demonstrated by the results obtained in training vs. test experiment. The correlated correlation results proved us that the ability in prediction of molar refraction of cyclic organophosphorus compounds with bi-varied MDF SAR model is significantly better compared with the previous reported SAR (see pZ = 0.0 % from Steiger’s Z test. The results showed clearly that the molar refraction of cyclic organophosphorus compounds is almost of topological nature (99.99%, and is strongly dependent on atomic relative mass and atomic electronegativity.