Purpose:The aim of the following study is to prospectively evaluate the use of a single Arbeitsgemeinschaft für Osteosynthesefragen (AO) 2.0-mm locking reconstruction plate for linear non-comminuted mandibular fractures without the use of a second plate.Materials and Methods:This study consisted of a sample of 10 patients who reported to the department with fractures of the mandible and were treated over a period of 24 months from November 2010 to November 2012. Out of these, there were 8 male patients and 2 female patients. There were four cases of isolated parasymphysis fractures, 1 of the case had a parasymphysis fracture associated with subcondylar fracture, 4 had a body fracture and 2 had a symphysis fracture.Results:All patients had satisfactory fracture reduction and a successful treatment outcome without major complications. Only one patient (10%) developed minor complications.Conclusion:The study has demonstrated that treating linear non-comminuted mandibular fractures with a single AO 2.0-mm locking reconstruction plate provides excellent stability at the fracture site which in turn leads to sound bone healing and early functional rehabilitation.
Extreme resorption of edentulous maxilla may cause difficulty during fabrication of a maxillary complete denture. Increased inter-ridge distance often creates a clinical problem due to heavy-weighted maxillary prosthesis. This article elaborates an alternative approach for hollowing a maxillary complete denture. It utilizes a clear template of the trial denture facilitating the creation of a gelatin cavity form. This hollowing ensures the even thickness of both denture base resins for structural integrity and reduces the heaviness of the denture.
Aim:This clinical study was conducted to observe and note the effect of variation in inter-appointment time period on the incidence of post-operative pain following single-visit versus two visit endodontics in vital and nonvital teeth with and without periapical radiolucency. Materials and Methods: A total of 80 adult patients requiring root canal therapy in anterior and premolar teeth were selected for this study and divided into four groups. Two sitting root canal treatment was carried out in three groups (Group 1 with inter-appointment time of 72 h, Group 2 with inter-appointment time of 48 h and Group 3 with inter-appointment time of 24 h) and single sitting root canal treatment was carried out in one group (Group 4). The subjects were recalled after 2 weeks and instructed to fi ll out a series of self-report questionnaires for responses about pain in the interim after 1 day, 2 day, 3 day, 1 week and 2 weeks. Results: Though comparison of pain incidence in different groups was not statistically signifi cant, there was a greater tendency for post obturation pain incidence in teeth treated with single sitting root canal therapy and those with inter appointment period of 72 h. Results obtained were comparable to those obtained by several investigators.
recurrence rates of non-muscle invasive bladder cancer (NMIBC). We report updated results from an ongoing prospective multicenter registry. METHODS: From April 2014 to October 2017, patients from 9 different centers undergoing TURBT for NMIBC were enrolled in a prospective registry. All lesions were assessed using BLC and white light cystoscopy (WLC). Flat lesions were defined as lesions with a flat appearance or appearance consistent with carcinoma-in-situ. Sensitivity and specificity of cystoscopic assessment was determined by comparison to the gold-standard pathologic diagnosis of the individual lesions. RESULTS: A total of 749 patients underwent 933 TURBT and 2,268 separate lesions were identified and resected. Mean age was 73 years and 83% were male. For detection of any malignancy, the sensitivity of BLC (91%) was higher than WLC (79%, p<0.001) and the combination had a sensitivity of 99%. The improved detection rate of any malignancy was notable for flat lesions (BLC 91% vs. WLC 64%, p<0.001). The sensitivity of BLC was also higher for patients with previous BCG treatment (p<0.001). BLC outperformed WLC for all TURBT indications including abnormal cytology. BLC had higher sensitivity compared to WLC for all topographic regions of the bladder; however, the positive predictive value (PPV) of BLC was reduced to 58% for lesions in the prostatic urethra, bladder neck, or trigone compared to 66% PPV for lesions on the anterior, posterior, lateral wall or dome. The number needed to screen with BLC for the diagnosis of an additional malignant lesion was 5. 307 patients had lesions only visible on BLC and 29 of these patients underwent radical cystectomy including 4 patients with tumors identified solely on BLC. CONCLUSIONS: BLC improves detection rates for NMIBC, particularly for flat appearing lesions. The number needed to screen for the diagnosis of an additional malignant lesion was 5. Improved detection rates for BLC are maintained for all TURBT indications and all topographic locations within the bladder.
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