ABSTRACT
This study was carried out to compare the treatment outcome after application of surgical scalpel and sieve methods of diode laser for depigmentation techniques with one year follow up period. METHODSThis was a comparative split mouth intervention study with follow up period of one year. A total of 5 systemically healthy patients, were enrolled in this study. Right and left quadrant were divided into Group A and Group B. In Group A, depigmentation with Sieve method of diode laser and in Group B depigmentation with surgical scalpel technique were used. Dummett Oral Pigmentation Index (DOPI) and Verbal Analogue Scale (VAS) Questionnaires were used to assess the intensity of gingival pigmentation and the pain intensity of the patients respectively. Data was analyzed using SPSS version 2.5 and P value of <0.05 was considered as statistically significant. RESULTSThe pain intensity in Group B (mean rank 1.60, 4.0) was high as compared to Group A (mean rank 0.0, 2.0) at 2 weeks and one month follow up and the results were statistically significant. Group A (mean rank 0.20, 0.80) showed better depigmentation outcome compared group B (mean rank 1.0, 1.80) at six months and one year and the results were statistically significant. CONCLUSIONSSeive method of diode laser therapy showed a significant improvement in gingival pigmentation as well as reduction in pain intensity as compared to surgical scalpel technique.
ABSTRACT
'Background: Thrombocytopenia is often the most commonly encountered clinical condition in this routine practice. Etiological causes being numerous, often pose a challenge in evaluating and treating the patients. The objective of this study was to find out the different causes and clinical profile of fever with thrombocytopenia in children aged 1month to 14 year who were admitted in this set up.Methods: This was a prospective study done on 200 patients with thrombocytopenia admitted IMS AND SUM Hospital, BBSR with various complaints, during the period of 01 August 2017 to 01 August 2019. This study includes age group 1months to 14 years.Results: The highest incidence of thrombocytopenia belonged to the age group 11-14 years (22.5%) followed by 6-9 years (19.5%) and 3-6 years (18%). Incidence of thrombocytopenia was more in male child (58.5%) as compared to female child (41.5%). the most common cause of thrombocytopenia was dengue (50%), Scrub typhus (34%) septicaemia (17.5%) followed by malaria (10.5%). Among the infectious aetiology severe thrombocytopenia was seen more in dengue (25%) and scrub typhus (34.5%) but evidence of bleeding was seen more in sepsis (34.2%) even with higher platelet count which may be explained by associated multi organ failure.Conclusions: Infections like malaria, dengue, leptospirosis and septicaemia were the common causes of thrombocytopenia along with scrub typhus. Whenever thrombocytopenia is detected further investigations can help us in reaching a correct diagnosis in the majority of the cases so that appropriate treatment can be given and also to avoid unnecessary platelet transfusion to prevent transfusion related complications.
ABSTRACT
Aim: The present study was undertaken with the purpose to assess the correlation between the presence of lymph node metastases and the size of tumor and the thickness of the tumor mass. Methods: The study included 80 consecutive cases of oral squamous cell carcinoma, who underwent radical neck dissection. The various level of lymph nodes in these cases were checked for metastases, which was then correlated with the size of tumor and the thickness of the tumor. Results: In this study it was revealed that there is a statistically non-significant (p = 0.3204) correlation between size of the tumor and regional cervical lymph node metastases, but a significant correlation (p = 0.0148) between thickness of the tumor and regional cervical lymph node metastases was observed. Conclusion: Thus we conclude that the tumor thickness was more in cases with skip metastasis than in cases without skip metastasis and tumors greater than 10mm in thickness have more chances of regional metastases.
ABSTRACT
Ameloblastic fibrodentinoma (AFD) is a rare benign tumor usually interpreted as a neoplasm similar to ameloblastic fibroma (AF), characterized by formation of dysplastic dentin on histopathological diagnosis. Peripheral –type ameloblastic fibro-dentinoma (PAFD) is exceedingly rare, with all previously reported cases involving young patients. We here report a case of PAFD occurring in upper gingiva of an 11-year old male child, which was surgically incised.