Since impacted canines are encountered often, with an incidence rate of 1 to 2% in the general population, it is important for a dentist to identify the signs and symptoms of this condition and follow interceptive treatment or orthodontic treatment. Features of buccal or palatal canine impaction show lack of canine bulges in the buccal sulcus and asymmetry in dental midlines. Diagnosis of impacted canines at an early age of 8 to 10 years can reduce further complications, such as surgical exposure or root resorption of the lateral incisors, and will reduce the total duration of the treatment. The interceptive orthodontic treatment procedure with extraction of the primary maxillary cuspids can prevent impaction of the permanent maxillary cuspids and additional sequelae.
The meticulous knowledge of anatomic characteristics and their variations is essential for the clinician. Radix entomolaris (RE) is one such anomaly where an extra root is present on the distolingual aspect of the mandibular first molar. 18-year-old patient was referred for the root canal treatment of mandibular right and left first molars. Intraoral periapical radiograph revealed additional periodontal spacing crossing distal root of 36. A CBCT was advised and it confirmed the presence of extra roots both in 36 and 46. CBCT is useful in endodontics as it aids in the identification of essential anatomic structures and determination of radius and angle of root canal curvature which is linked to fracture of the instrument. The classical triangular access cavity was modified to a trapezoidal form to locate the extra canal. All canals were instrumented with controlled memory nickel titanium instruments and obturation was done with single cone technique.
Background: sensorineural hearing loss (SNHL) is the common entity among uncontrolled diabetes patients, mainly in long term hyperglycemia. SNHL is mild to severe in nature. Aims and Objectives: The aims of this study were to evaluate sensory neural hearing loss in patients with diabetes mellitus (DM). Materials and Methods: We undertook that this prospective observational study which includes patients presented with DM to the department of ENT in Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, was planned for hearing evaluation during period of June 2020-November 2021, total 42 patients of age group 25-65 years were taken for the study. Results: On hearing assessment 29 (69.04%) cases were having SNHL and 13 (30.95%) cases were having normal hearing. Only 10 (23.80%) control were having SNHL and 32 (76.19%) control were having normal hearing. There was statistically significant association found between diabetes and SNHL. SNHL was found in less number of young cases and it was found in most of old age patients. Conclusion: The severity and prevalence of hearing loss are more if duration of hyperglycemia is more and if delay in starting treatment in diabetic child. SNHL is bilateral and mostly mild in the early stage.
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