ABSTRACT
Periodontal diseases primarily occur due, to infections and inflammation that affect the gums and bone structures supporting the teeth. In the stage, known as gingivitis the gums may become swollen turn red and bleed easily. These health issues not impact health but also have broader implications for overall well-being, including tooth loss, discomfort, bad breath and an increased vulnerability, to chronic illnesses. The main objective of this review is to examine aspects pertaining to diseases encompassing clinical indications, methods, for diagnosis, available treatment choices, and preventive strategies. This research meticulously examines the types of these diseases, their stages, and their causes. It also discusses the approaches and criteria used to diagnose these conditions. Additionally, the paper provides an evaluation of treatment alternatives and strategic frameworks, for managing pathologies. This includes both surgical approaches, well as supportive therapies. The paper emphasizes the importance of measures. Maintaining oral health through consistent dental hygiene practices, regular dental checkups, and necessary lifestyle adjustments. In conclusion, while periodontal diseases pose challenges in practice they can be controlled and prevented through collaboration, between dental practitioners, dental hygienists, and active patient participation.
ABSTRACT
Background: Carcinoma cervix is a significant health concern, particularly in lower socioeconomic groups. The effectiveness of interdigitated versus sequential brachytherapy, both with concurrent chemoradiation, in treating this condition remains underexplored.Methods: This quasi-experimental study at Rajshahi Medical College Hospital enrolled 63 patients with biopsy-proven squamous cell cervical cancer. They were randomly divided into two arms: arm a received pelvic EBRT 50 Gy in 25 fractions, followed by HDR brachytherapy (7 Gy weekly × 3 weeks) starting after 30 Gy of EBRT; arm B received the same pelvic EBRT, followed by HDR brachytherapy (7 Gy weekly × 3 weeks) starting a week after the completion of EBRT.Results: Mean age was 47.82±8.45 years (range: 29-64 years). The mean OTT was significantly reduced in arm-A (36.58 days) compared to arm-B (59.5 days). In terms of treatment response, 90.32% of patients in arm-A and 78.12% in arm-B experienced a complete response.Conclusions: Interdigitated brachytherapy with concurrent chemoradiation significantly reduces treatment time without compromising treatment effectiveness. Despite a shorter treatment duration, the complete response rate was slightly higher in the interdigitated arm.
ABSTRACT
Background: Carcinoma cervix is a significant health concern, particularly in lower socioeconomic groups. The effectiveness of interdigitated versus sequential brachytherapy, both with concurrent chemoradiation, in treating this condition remains underexplored.Methods: This quasi-experimental study at Rajshahi Medical College Hospital enrolled 63 patients with biopsy-proven squamous cell cervical cancer. They were randomly divided into two arms: arm a received pelvic EBRT 50 Gy in 25 fractions, followed by HDR brachytherapy (7 Gy weekly × 3 weeks) starting after 30 Gy of EBRT; arm B received the same pelvic EBRT, followed by HDR brachytherapy (7 Gy weekly × 3 weeks) starting a week after the completion of EBRT.Results: Mean age was 47.82±8.45 years (range: 29-64 years). The mean OTT was significantly reduced in arm-A (36.58 days) compared to arm-B (59.5 days). In terms of treatment response, 90.32% of patients in arm-A and 78.12% in arm-B experienced a complete response.Conclusions: Interdigitated brachytherapy with concurrent chemoradiation significantly reduces treatment time without compromising treatment effectiveness. Despite a shorter treatment duration, the complete response rate was slightly higher in the interdigitated arm.