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- Let There Be Guideline For Being Too Clean
My opinion: As interestingly brought to light by Svanes et al (2018) [1] and others [2-3], the time has been ripe for eliciting a discussion about the consequences of cleaning when with time, being too clean has been slowly replacing being too dirty [4-5]. To my limited understanding, the mechanical agents may elicit harm within m..
- Video Phone Communication With Patients In Isolation
Abstract: The most stringent isolation precautions (airborne precautions) warrant the most commonly used N95 respirators to be worn by healthcare providers in negative pressure rooms caring for patients suspected or confirmed to be harboring airborne pathogens. However, although N95 respirators aim to protect healthcare provider..
- Audio-Video Recording The Consenting Process With Futuristic Air-Gapped Dedicated Devices
Opinion: As anesthesiologists working in perioperative areas, the question that constantly lingers is how to judge the capacity of perioperative patients to consent for the procedures they are presenting for and the procedures they may need emergently. Even though these questions might not have been traditionally related to ane..
- Progress Bar On ERAS Portal
Opinion: The variable application fees' model of Electronic Residency Application Service (ERAS) might be expecting that the fees per application becoming higher with increasing number of applications per specialty may deter the number of applications per applicant from soaring. However, this ploy to control the number of appli..
- Save The Hands While Saving From Hands
Abstract: There has been escalating stress on hand hygiene to ensure prevention of disease-transmission. However, it is time to concurrently give due consideration to counter-concerns inherent with hand hygiene precautions and hereafter, possibly suggest an alternative solution. Although gloves have been in use as barrier method..
- Incidence of Heparin-Induced Thrombocytopenia and "Argatroban" Dollars At University Hospital In The United States
Abstract : Background: According to published medical literature, there is variable incidence of heparin-induced thrombocytopenia (HIT), a life-threatening pro-thrombotic state, complicating unfractionated heparin (UFH) or low-molecular weight heparin (LMWH) use with immunogenic activation cascade evolving into arteriovenous thro..
- I do not believe (have faith) in this: Can I say NO?: Future of Post-Hire Post-Market-Safety-Surveillance (PMSS) for Physicians
My opinion: When the author had conceptualized post-hire Post-Market-Safety-Surveillance (PMSS) [1] for physicians in general and operating room personnel in particular wherein their co-workers and supporting staff may futuristically rate the individuals in question regarding how likely the rating personnel may consider the rated ..
- nil-per-os (NPO): Can We Address It? With A Loco-Regional-National Database
My opinion: Although the term "Say No To NPO!" has been registered as a trademark by BevMD LLC, California, United States,[1] the American Society of Anesthesiologists (ASA) should envision progressing towards it while balancing the dynamically evolving pros-cons evidence for preoperative hydration-nutrition status with pulmonary ..
- Scopolamine and Sugammadex: Gateway To Litigation In Absence of Patient Education
My opinion: As an anesthesiologist, my personal experience with scopolamine transdermal therapeutic system (TTS) patch as a counter-measure against postoperative nausea and vomiting (PONV) and sugammadex as a rapid reversal agent against neuromuscular blockade is limited. Still, I wonder if these medications can be gateway to liti..
- Self-Pay All Along
My opinion: Being an avid reader, I stumbled onto the health insurance practice of ASO [1]. As a healthcare consumer, it is important to know what ASO is. The acronym ASO stands for "Administrative Services Only" [2], a practice that has figuratively evolved the majority of our employers into becoming our health insurance carriers..
- Gender Differences in Comorbidities of Heart Failure Patients with Preserved or Reduced Left Ventricular Ejection Fraction
Abstract: Introduction/AimThe aim of this study was to establish gender differences in the comorbidities of heart failure (HF) patients both with preserved (HFpEF) or reduced (HFrEF) left ventricular ejection fraction Materials and MethodsThis is a retrospective study including 535 heart failure patients hospitalized in the pe..
- Uterine giant myomectomy: A case report
Abstract: Background Uterine leiomyomas, the most common benign gynecological tumor, usually occur in females of reproductive age. Myomectomy is the preferred surgical treatment in reproductive-aged women who want to retain their uterus. Myomas can range in size from as small as an apple seed to as large as a melon. Giant uterin..
- Gemcitabine-induced haemolytic uremic syndrome: high level of suspicion seems crucial
Letter to the editor: Dear editor, Gemcitabine is an antimetabolite agent used in the treatment of many tumours. The safety profile of gemcitabine is generally mild and it usually displays minimal toxicity in elderly too. Furthermore, its profile of side-effects does not seem to be related to patient’s age. There is no evidence of cumulat..
- Sciatic neuritis due to fibrovascular bands and myxoid neurofibroma. Arthroscopic decompression and excision
Abstract : A 34-year-old lady was referred to our clinic due to a chronic hip and leg pain that did not improve with rehabilitation and after three corticosteroid injections. The MRI showed sciatic neuritis and ..
- Chemotherapy induced oral mucositis: prevention is possible
Abstract : Oral mucositis (OM) is a frequent side-effect of antineoplastic treatments. Patients usually describe the first symptom as burning sensation in the mouth and swelling, erythema or ulceration and pain will follow. These will place them at a higher risk of infection, might impair significantly their nutritional status a..
- Biological microworld vis-a-vis astrophysical world of gravitation
Abstract: On completion of few decades of in-house as well as outdoor investigations, the author has come out with the opinion that various little understood phenomena in life science could be compared and explained through gravitation based astrophysical principles. Gravitation plays an extensive role in astrophysical world i..
- Clear Aligners: strenghts and weaknesses
Abstract : Clear aligners are orthodontic devices that use elastic thermoplastic material that applies pressure to the teeth to move into the aligner’s position, which are an alternative to dental braces. They are esthetic, efficient, and comfortable compared to traditional fixed appliance for mild-to-moderate malocclusion. Cle..
- Retention after orthodontic treatments: a systematic review
Abstract : Orthodontists should work to achieve an occlusion that is functionally efficient, esthetic, and healthy. Long-term retention helps to ensure stability of the dentition. ..
- Dental transpositions: a systematic review
Abstract : Tooth transposition is a form of ectopic eruption that requires an intensive exploration of treatment options prior to treatment. Treatment options include alignment of teeth in their transposed positions, extraction of one or both transposed teeth, or orthodontic movement to their proper positions in the arch. If a pr..
- The Diode Laser: A useful aide for esthetics in orthodontics
Abstract : Contemporary orthodontics continues to merge with modern-day technology and the growing focus on dental esthetics in today’s culture. Laser technology got in these years a more and more important role in modern dentistry and, recently, also in orthodontics the utilization of laser devices was proposed. In the last tw..
- Effects and long-term stability of functional treatment with removable appliance for Class II Malocclusion
Abstract : Class II malocclusion is not a single entity but results from numerous combinations of both skeletal and dental alveolar components. Treatment of Class II malocclusions may involve functional appliance therapy. Ideally this therapy should be started in the late mixed dentition followed by Phase II therapy to align perm..
- SECOND MOLAR IMPACTION WITH LIP BUMPER THERAPY
Abstract : Mandibular lip bumpers (LBs) can provide significant clinical gain of mandibular arch perimeter during mixed-dentition. However many orthodontists do not use them due to the possibility of permanent second molar (M2) eruptive disturbances...
- Effectiveness of Rapid Palatal Expansion in patients affected by OSAS
Abstract : The diagnosis of OSAS (Obstructive Sleep Apnea Syndrome) in childhood is becoming always more frequent, with more than 1000 articles written between 2000 and 2017. Many symptoms characterize this syndrome and many benefits in its treatment can be achieved through orthodontics, in particular, orthopedic expansion of max..
- Condylar Hyperlasia:Diagnosis and Treatment, a review
Abstract : Unilateral condylar hyperplasia is an unbalanced bone growth of one condyle rather than the other one clinically resulting as a facial asymmetry, whose characteristics are different depending on the direction of the hyperplasia.The purpose of our study is a literature review resuming the most important characteristics ..
- SELF-PERCEPTION OF MALOCCLUSION SEVERITY: IOTN-AC
Abstract : The purpose of orthodontic treatment is to get a functional occlusion and a good aesthetic result. More and more patients require orthodontic treatment and the main motivation is the improvement of smile aesthetics. Over the years, numerous indices have been developed to rank or score the severity of a malocclusion rel..
- Evaluation of the prevalence of malocclusions based on the Index of Orthodontic Treatment Need (IOTN): a review of the literature.
Abstract : The purpose of orthodontics consists in the correction of malocclusions. It was therefore decided to carry out a review of the literature to assess the prevalence of the different malocclusions especially according to the Index of Orthodontic Treatment Need (IOTN). The prevalence of malocclusion also depends on the typ..
- The study of the palatal vault morphology
Abstract : The palate growth was a topic of interest for orthodontic literature because palatal dimensions often need to be modified during orthodontic or surgical-orthodontic treatment. The study of the morphology of the palate vault has been subjected to different researches with more sophisticated methods on plaster models (th..
- Digital models in orthodontic diagnosis: a review
Abstract : Objective: the purposes of this review is to evaluate the validity and reliability of orthodontics measurements on digital models Materials and methods: rating of studies present in literature from 2003 to 2016, that evaluate the validity and reliability of orthodontic space analysis on digital models. Results: digital..
- Spect bone scintigraphy in the diagnosis of unilateral condylar hyperplasia: a systematic review
Abstract : Unilateral condylar hyperplasia is an uncommon condition with unknow aetiology which causes overdevelopment of condyle leading to facial asymmetry, mandibular deviation, malocclusion, and articulation dysfunction. The comparison of radiographs and clinical photographs is considered the current accept standard for the d..
- Borderline patients between orthodontics and surgery: review
Abstract : Borderline is the term used to refer to cinical cases in which the prognosis and the best therapeutic plan are uncertain. Our aim should be to reduce as far as possible the range of values characterizing borderline pathologies and thus to increase the number of patients receiving precise diagnosis and certain therapeut..
- A solution to the problem of frictional resistance with self-ligating system: a systematic review
Abstract : During the early stages of orthodontic treatment, the self-ligating system is more efficient because a reduction of friction in the interface archwire-bracket occurs. The friction is determined by three components: friction, binding and notching; it depends on the critical contact angle defined, for each pair of wire a..
- The versatility of the 2X4 appliance
Abstract : Early diagnosis and treatment are fundamental in order to reduce the severity of a malocclusion. In three of most common conditions (anterior crossbite, posterior crossbite and impacted/ectopic incisors) a 2X4 fixed appliance can be very useful with some advantages compared to removable appliances...
- Merchants and Mercenaries: The Lost Maya Civilization
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- The relationship between occlusion and posture: a systematic review
Abstract : The relationship between stomatognatic and postural system has longtime been investigated among practitioners in healthcare. Since the last half of the twentieth century, the relationship between the subjects of orthodontics and orthopedics has been debated and, as a result of that, some scientifically validated studie..
- Self-ligating techniques: comparison in patients with maxillo-mandibular deformities.
ABSTRACT: It is not possible to standardize the sequence and duration of each wire because of the amount of the variables influencing; the initial choice is dictated primarily by the clinical situation: the degree of crowding (evaluated by the Little index (1))has an inverse relationship to wire size. The transition to the..
- Correlations between dyslalia and orthodontics
Abstract : Several studies have tried to demonstrate the relationship between dyslalia and some alterations in the stomatognathic system. This article is aimed at combining the results of the various studies investigated, and to define what are the specific occlusal alterations that have been related to this speech disorder over ..
- CAD/CAM technology aid in orthodontics and orthognathic surgery
Abstract : The medicine has become a discipline deeply characterized from the technology both in diagnosis and in therapy. Despite the planning and the realization of orthodontic devices is today still based on an approach type handicraft they are more and more taking hold the digital technologies that are changing the dentis..
- Study of facial soft tissues with magnetic resonance imaging (MRI)
Abstract : Alongside traditional radiology, in recent decades, diagnostics have seen the emergence of new techniques that do not employ x radiation and are therefore considered harmless and no radiating6. MRI allows to see human body structures differently depending on the type of reading parameters set in the device and are part..
- Lingual vs. Labial fixed orthodontic appliances: comparison of adverse effects
Abstract : Lingual orthodontic appliances have increased the acceptability of orthodontic care for those who have concerns over the appearance of appliance. Thanks to the technologic development, the labial treatment outcomes have become similar and comparable to those produced by labial orthodontic treatment. The aim of this sys..
- FEATURES IN PATIENT AFFECTED WITH HEMIFACIAL MICROSOMIA AND CLASSIFICATION METHODS
Abstract : Hemifacial Microsomia (HFM) is one of the most common congenital conditions treated in craniofacial centers worldwide. This condition is variably associated with anomalies of the jaws, ears, facial soft tissue, orbits, and facial nerve function and can be associated with extracranial anomalies. Diagnosis, treatment, an..
- Molar Incisor Hypomineralisation (MIH) from the orthodontic point of view
Abstract : Background: Molar Incisor Hypomineralisation (MIH) is a developmental disorder of the enamel of permanent first molars, frequent during childhood. Management is multidisciplinary and can include the orthodontist’s cooperation. Aim of this review is to highlight the orthodontic issues in MIH. Materials and methods: A ..
- Fixed orthodontic therapy and plaque formation: a systematic review
Abstract : Many authors associated fixed orthodontic treatment with an increase in plaque formation and periodontal disease. Aim of this review is to investigate the correlation between fixed orthodontic treatment, change in subgingival microflora and periodontal pathologies such as gingivitis and periodontitis and also if there ..
- Evaluation of skeletal maturity when planning an orthodontic therapy: a comparison between Cervical Vertebral Index (CVM) and Middle Phalanx Maturation Index(MPM). A systematic review.
Abstract : Evaluation of skeletal maturity is crucial in the planning of an orthodontic treatment plan. The best results with functional and orthopedic retainers are obtained when the mandibular growth peak is included in the treatment period. The X-ray of the carpus and the wrist has been till now the most used radiographic meth..
- A review of the use of CT in the study of facial soft tissue in patients affected by hemifacial microsomia
Abstract : Hemifacial microsomia (HFM) is a craniofacial disorder characterized by a wide spectrum of anomalies, including conductive hearing loss due to external and middle ear deformities. Hemifacial microsomia is the second most common developmental craniofacial anomaly after cleft lip and palate. For the pre-surgical evaluati..
- Condylar Hyperplasia: Classifications over the years
Abstract : Background: Condylar Hyperplasia (CH) is a pathological condition characterized by progressive overgrowth involving the condylar head or neck, mandibular body, ramus, or a combination of these. Several classifications were proposed over the years. Aim of this review is to illustrate proposed classifications, underlinin..
- Bisphosphonates and orthodontic tooth movement: a systematic review
Abstract : Bisphosphonates (BPs) are drugs that act primarily to inhibit osteoclast activity and bone resorption, used in many clinical conditions associated with excessive bone resorption. Aim of this review is to investigate the effects of BPs on orthodontic tooth movement. All selected studies showed that orthodontic tooth mov..
- Temporary anchorage devices (TADs): failure rates and risk factors
Abstract : Background: Temporary anchorage devices (TADs) are frequently used in orthodontics and had many indications but, before inserting them, clinicians have to respect some important rules, first of all an adequate preoperative preparation consisting of an exhaustive history, an accurate diagnosis report and a precise selec..
- Long-term stability of rapid maxillary expander: a systematic review
Abstract : The rapid maxillary expander (RME) is a fixed orthodontic-orthopedic appliance frequently used to widen the maxilla. Aim of this review is to investigate long-term stability of transversal, vertical and anterioposterior changes induced by RME. After a careful analysis of the literature, RME is able to provide long-term..
- Dentoskeletal abnormalities associated with Mobius syndrome
Abstract : Mobius syndrome is a rare congenital disorder that causes paralysis of facial nerves. In a high percentage of patients, dentoskeletal abnormalities are described. Aim of this review was to identify most common dentoskeletal abnormalities associated with Mobius syndrome. Most common dentoskeletal anomalies are micrognat..
- Dentoalveolar effects of lip bumper: a systematic review
Abstract : Background: The lip bumper is a functional device capable of neutralize the centripetal force produced by lips and cheeks, releasing expansive action produced by the tongue. It’s indicated to recover space at the lower arch, keep the leeway-space, treat malocclusions related to thumb sucking and bottom lip interposit..
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