Endodontic Management Of Dental Pain In An Inhibitor Positive, Severe Hemophilia A Patient: A Brief Review And Report Of A Case

Dental health care providers often have to deal with patients requiring special care during treatment planning, and certain precautions while carrying out the procedures, and patients with bleeding disorders are one of them. Hemophilia, an X-linked blood dyscrasia, is the most common bleeding disorder. While hemophilia-A is a deficiency of factor VIII, hemophilia-B (Christmas disease) is a deficiency of factor IX. The present paper presents a case discussing endodontic management of mandibular molars with irreversible pulpits in an inhibitor positive severe hemophilia-A patient. As such patients may require administration of inferior alveolar nerve blocks, so adequate factor levels should be ensured before initiation of local anesthetics. Furthermore, the authors have tried to highlight the barriers to oral health care suffered by such patients and the larger role played by the physicians and oral health care providers in the prevention, early detection, and timely intervention in these cases.

Level of organochlorine pesticide residues in dry fruit nuts.

The use of pesticides on cash crops and exportable food commodities had always been a serious concern. Fruits form one of the important constituents of human diet, in that they give one third of the requirement of calories, vitamins, and minerals. This study has been carried out to determine the level of organochlorine pesticides namely HCH, DDT and Endosulfan in raw fruit nuts. Nuts have proteins and high level of fat content. These properties of nuts attract organochlorine pesticides to accumulate. The analysis of organochlorine pesticide residues in commonly used dry fruits like Cashew nut, Walnut, Coconut , Chilgoza , Chironji, Makhana, Resins, Apricot, Almonds, Date palm , Pistachio nut collected from local market of Lucknow. India has indicated presence of very low level of HCH (0.007-1.328 mg kg-1), DDT (ND-0.140 mg kg-1) and Endosulfan (ND-0.091 mg kg-1).There are no MRL values established for nuts in the country. This finding is based on a smaller number of samples, which however suggest that the presence of low level of DDT, HCH and Endosulfan might be due to environmental rather than direct exposure.