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.
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 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
Purpose To compare between values of condylar inclination obtained by protrusive interocclusal records using extraoral Gothic arch tracing with cone-beam computed tomography (CBCT) scan, and cephalometric and panoramic radiographs in edentulous patients.
Materials and Methods Horizontal condylar guidance angle (HCGA) was measured using the extraoral Gothic arch tracing, CBCT, lateral cephalogram, and orthopantomogram (OPG) in 20 patients aged between 40 and 75 years. HCGAs were determined clinically using protrusive interocclusal records and semi-adjustable articulator after extraoral Gothic arch tracing. Radiographically, Frankfort horizontal plane was marked and a straight line joining the superior-most point and the inferior-most point of posterior slope of the articular eminence (AE) was drawn till the two lines met at an intersection. The angle at this intersection depicted the AE inclination and the angle was measured. Statistical analysis was done using analysis of variance test, multiple comparison was done using Tukey test, and the Pearson correlation coefficient was compiled for different study parameters.
Result A significant difference in condylar guidance was observed among different methods (p-value < 0.05), and significant positive correlations were observed among condylar guidance measured using distinct parameters.
Conclusion It was concluded that horizontal condylar guidance (HCG) values with the radiographic technique were higher than the clinical method. It was observed that mean HCG values were higher by 6.4 degrees in CBCT, 6.7 degrees in OPG, and 9.9 degrees in lateral cephalogram as compared with the clinical value. It was also observed that there was a variation of condylar guidance up to 5 degrees between right and left sides.
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