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HighlightsAcute gastric volvulus is an uncommon surgical emergency requiring timely action.High index of clinical suspicion needed for diagnosis.Early intervention can save lives and lessen the associated high mortality.Primary gastric volvulus may be associated with general laxity of ligaments.Primary gastric volvulus may be linked to fibrosis in active pulmonary tuberculosis.

Introduction: Laparoscopic hernia repair is in vogue in the present era. Both the operating surgeon and the patient are concerned about the postoperative inguinodynia which has now replaced recurrence as the predominant factor affecting quality of life.

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Lasers have revolutionized the dental treatment modalities and have become an inseparable part of advanced treatment options. The parallel expansion of implant dentistry and laser dentistry is quite apparent. As the laser energy is being put to use in various ways, prognosis of implant treatments is improving. This article aims to provide a comprehensive view of the use of lasers in implant dentistry including preoperative, postoperative and intraoperative clinical procedures.

Introduction Dental implants are common treatment modality for tooth loss which leads to unaesthetic appearance and may also cause deterioration of mastication and speech. The aim of implant therapy in dentistry is to restore tissue contour, function, comfort, aesthetic, and speech. Dental implant role is to transfer the mechanical force created during chewing to the supporting osseous tissues within the mandible and maxilla. The importance of biomechanical factors such as the bone-implant interface, implant thread design, the length and diameter of implants, type of loading, the quality and quantity of surrounding bone have been strained by various authors. The selection of implant thread design plays an important role in the outcome of the treatment. This study was done to evaluate the influence of different thread designs on stress distribution of osseointegrated implant using three-dimensional (3D) finite-element analysis. Materials and Methods Three implants with different thread designs, namely V-thread, buttress, and reverse buttress thread designs were considered and dimensions were standardized. The site considered was the mandibular molar region with cortical and cancellous bone assuming to be isotropic and homogeneous. The implant modeling was done with the ANSYS 18.1 software. Axial load (100N) and buccolingual load (50N) were applied. The stresses were calculated as Von Mises stress criterion. Results Minimum von mises Stress concentration was seen for tapered implant body with reverse buttress thread design under axial load 100N and tapered implant body with V-thread under buccolingual load of 50N at cortical bone which signifies bone preservation. Stress levels were observed maximum at implant and minimum at the cancellous bone. Conclusion Hence, within the limitations of this study the results obtained can be applied clinically for appropriate selection of implant thread design for a predictable success of implant therapy. AbstractKeywords ► dental implant ► FEA study ► implant thread ► stress analysis ► von mises stress

Aim The aim of this study was to evaluate the distribution of stresses in osseointegrated crestal and basal implant in zygomatic region of maxilla and to identify the preferable implant option for better stress distribution. Material and Method The present in vitro study was performed to evaluate stress patterns in bone around basal and crestal dental implant under axial and oblique loading in maxillary zygomatic region with the help of a finite element analysis (FEA). To conduct this study, the following materials were used: computer software ANSYS, basal implants with dimensions 3.7 × 10 mm, and crestal implants with dimensions 3.7 x 10 mm. The amount of load transferred on the bone adjacent to the implant in an axial and transverse load of 100 N at 0 and 45 degrees, respectively, was placed on both types of implants. A three-dimensional (3D) scanner was use to generate 3D simulated model of basal and crestal implants. FEA modelling was generated that replicated the zygomatico maxillary region with special emphasis on bone architecture, bone density, angulation, width, and length of implant prototype. Further, material properties were defined for cortical bone, dense trabecular bone, low density trabecular bone, and titanium on the basis of Young’s modulus of elasticity. Results These values were used by FEA software (ANSYS) to generate a 3D mesh model of bone and implant. Finally, Von Mises (equivalent stress) (MPa) values on the implant were computed using FEA software. The values of maximum Von Mises equivalent stress on the implant collars, body, apex, and bony interface were obtained. Conclusion Maximum stresses were seen at the cortical bone with basal implant placed inside the bone. Stresses that are transferred more to the bone through implant promote bone remineralization. Maximum Von Mises stresses were observed on basal implant body. Thus, these greater stresses have the capacity to simulate mineralization in the cortical bone; this makes basal implant a suitable option for placement inside the cortical bone.

Introduction Luting cements are susceptible to attack by moisture during the initial setting period that can result in an increased solubility. The aim of this in vitro study was to evaluate the solubility of different permanent and temporary dental luting cements in artificial saliva of different pH values at different time intervals. Materials and Methods Eight commercial luting cements were used. Out of which five were permanent cements (Rely X lute2, zinc phosphate cement, zinc polycarboxylate cement, Rely X U-200, GC GIC) and three temporary cements (ZOE, Oratemp NE, Temposil). A total of 200 samples were made into 25 specimens of each cement (five samples for each study solution group). The samples were made of dimension 20 mm × 1.5 mm in the metal mold. Once the cements were set, they were removed and after 3 minutes of removal they were placed in the incubator at 37°C ± 1 for 1 hour. Specimens of each cement type were separated into five groups for evaluation and comparison in distilled water and artificial saliva with four different pH values (pH 3, pH 5, pH 7, and pH 9). Percentage of solubility was calculated as 100% times weight loss divided by initial weight of the specimen. Results When all permanent cements were tested the result showed that Rely X U-200 showed least dissolution even after 28 days, followed by Rely X lute-2, then Glass ionomer cement then zinc polycarboxylate cement and then zinc phosphate cement which gave maximum dissolution. Conclusion When all temporary cements were tested the result showed that Temposil showed least dissolution even after 28 days, followed by OraTemp NE, compared with zinc oxide eugenol which gave maximum dissolution.