A study on correlation of anemia with left ventricular hypertrophy in chronic kidney disease patients: a cross sectional study from Southern Rajasthan

Background: Chronic kidney disease is becoming epidemic oftwenty-first century. With increasing burden of diabetes and hypertension, chronic kidney disease is becoming rampant in our country. Adverse outcome of CKD includes kidney failure, complications due to decreased kidney function and cardiovascular disease etc. Increasing morbidity and mortality of coronary artery disease in CKD patients make it necessary to develop further researches in these population. Aim and objectives of current study were to demonstrate the correlation of anemia with left ventricular hypertrophy in a cohort of CKD patients in a tertiary care centre.Methods: This study was done over one year on 100 patients of CKD (stage III to V), aged 15-80 years, who had elevated serum creatinine and reduced glomerular filtration rate, haemoglobin <11gm/dl withultrasonographic evidence of renal parenchymal disease grade >2. The patients were assessed based on clinical history and a number of laboratory parameters including blood urea, serum creatinine, calcium, inorganic phosphorus, serum electrolytes, iPTH level, Hb, Hct, glomerular filtration rate and left ventricular mass index.Results: There is a significant relationship between of anemia and left ventricular hypertrophy among chronic kidney disease patients. In our study, it was observed that left ventricle mass (left ventricular mass index) increases with increasing severity of anemia.Conclusions: Anemia is widely prevalent in our CKD patients. Severity of anemiais correlated to left ventricular hypertrophy in these patients. Hence correction of anemia early in these group of patients can halt or prevent cardiovascular morbidity and mortality.

Treatment of the cleft lip and palate patient with few remaining posterior teeth using hybrid telescopic crown denture

For individuals with cleft lip and palate, the removable partial dentures (RPDs) have been an important treatment option. Some modifications from conventional prosthetic treatment may be necessary to achieve satisfactory functional and esthetic results in cleft patients. In case of cleft palate patient with periodontally compromised and only posterior few remaining teeth, removable partial prosthesis connected to telescopic crown can be the alternative treatment option. When connected to the RPD, telescopic crowns increase the prosthetic stability and retention, optimize favorable force transmission to the long dental axis, and improve esthetics. And the cross arch stabilization of double crown denture helps to stabilize both divided maxillary ridges in CLP patient. This case present one adult CLP patient using an RPD connected with hybrid telescopic crowns with friction pins to improve not only retention and stability but also aesthetics.

Evaluation And Comparison Of Patient Satisfaction Tendencies And Acceptance For Different Prosthodontic Treatment Modalities.

Objective: To evaluate and compare the denture satisfaction tendencies for and between the completely and partially edentulous patients, with different prosthodontic treatment modalities. Methodology: The study was conducted to include twenty eight patients that were fit to the criteria of the research, asked to answer some questions, reflect their satisfaction with the newly received dentures, which were delivered to patients according to their conditions and needs (complete removable denture, conventional metal frame RPD, RPD with flexible esthetic clasps and RPD with attachments). Results:The data collected from these patients was grouped and the questionnaires values were calculated to estimate the most satisfied group, which was seen with the group who received RPD with flexible esthetic clasps. But the significant difference analysed by Mann-Whitney Test, was focused on the satisfaction of prostheses’ appearance, that was clearly revealed for the patients who received RPD with resilient attachments; followed by the group who received complete dentures and RPD with esthetic flexible clasp (at the same level), supported by the family and friends positive opinions. Also the same group that received RPD with attachments achieved optimum level in prosthesis’ satisfaction for retention. Conclusion:The results of this research directed the attention to the recent treatment modalities in fabrication of dentures, like using flexible esthetic clasps and attachments; the patients that received RPD with flexible esthetic clasps appeared to be more satisfied with their prostheses, mostly this was related to the comfortability, esthetic and retention traits, followed with group that received RPD with attachments that showed significant differences in esthetic and retention scores than other groups. While the complete denture wearers were the less satisfied group, related obviously to the difficulty to gain the retention in relation to the partial once, as well as the uncomfortable feelings.

Esthetic removable partial denture with implants and resin clasp: Case report / 대한치과보철학회지

For the rehabilitation of fully edentulous patients, implant-supported removable partial dentures can be considered as one of the treatment options with complete dentures or implant-supported overdentures. If removable partial dentures are used in combination with a small number of implants placed in strategically important positions, it can offer additional stability, retention and support through implants and reduce a burden of surgical procedures compared with fixed implant-supported prostheses with extensive implant placement. Moreover, the economical benefit can be expected as well. The purpose of this case report is to present a treatment in which an implant-supported removable partial denture was fabricated considering residual alveolar bone status and demands after teeth loss in a patient who had been using a distal extension removable partial denture for a long period of time. In anterior area, fixed prostheses were fabricated with implant placement and in posterior area, short implants provide only support for the removable partial denture. In addition, denture base and clasp were made of thermoplastic acrylic resin. Finally, functionally and aesthetically satisfying treatment results can be achieved.

Prosthetic treatment for patient with upper lip cancer and severe periodontitis: Maxillary complete denture with denture adhesive and mandibular double crown-retained removable partial denture / 대한치과보철학회지

When oral cancer is occured, one may experience problems such as lip defect, necrosis of periodontal tissue and cervical caries caused by radiotherapy. According to ADI (Association of dental implantology), recent radiotherapy on jaw bone could be a relative contraindication of implant treatment. Due to this controversy, in most cases, treatment is done with removable dentures rather than implants. Especially, lip defect caused by an oral cancer operation have a serious repercussion on the retention of the denture. In this case report, patient with upper lip cancer had undergone resection primarily and secondary radiotherapy was done periodically. As a result, upper teeth of patient were extracted gradually and lower teeth showed very poor periodontal status. Therefore, Polident(R) denture adhesive cream (GlaxoSmithKline, London, England) was applied on maxillary complete denture to overcome reduced retention due to the lip defect and double crown RPD with friction pin was applied on the mandible successfully for two years.

Flexible Partial Dentures - A hope for the Challenged Mouth.

The strong, flexible nature of flexible denture material is perfectly suited to the variety of natural conditions in the mouth, simplifying design and enabling the flexible nylon resin to act as a built-in stress-breaker that provides superior function and stress distribution. Partially edentulous patients with challenging conditions like abused ridges, allergy to denture resins, undercuts due to angulated remaining teeth, cancerous lesions and cleft palate pose a great challenge for the fabrication of a successful removable partial denture. Flexible denture offers a simpler and cost effective treatment for the oral rehabilitation of such cases. Flexible nature of the material allows shifting of the burden of force control from the design features of the appliance to the material properties of the base material. The clinical procedures are simple not requiring any expertise. A cast model prepared from a conventional alginate impression is sent to the laboratory that fabricates the desired prosthesis. The stress distribution of the partial denture is accomplished by flexibility of the major connector, behaving as a stress-breaker. The tissue-supported saddles float on the edentulous ridge independently, without placing a stress load on the abutment teeth. In the long term, the flexibility of the complete or partial denture also appears to act as a tissue conditioner. Flexible partial dentures certainly offer advantages over conventional partials by way of superior aesthetics, better function, durable material and longevity of the prosthesis.

The design of lecture introduction to removable partial denture (RPD) / 中华医学教育探索杂志

To design the lecture introduction of the sketch of RPD in prosthodontics by the following ways: such as textbooks, teaching aim, the key and difficulty points in teaching, the arrangement of the lecture, the preparation of teaching aids, learning, teaching methods process, preparation, situation creation, leading-in of new lessons, discussion, impartment and points, case demonstration, display of blackboard-writing, summary and conclusion as well.

Full mouth rehabilitation of destroyed dentition with rotational path removable partial denture: a case report

BACKGROUND: Though implant dentistry is very successful and predictable in treatment of patients with destroyed dentition, there are some cases with limitations to implant therapy. In these cases, alternative treatment modality should be considered. CASE DESCRIPTION: A patient with destroyed dentition was rehabilitated with a lateral rotational path removable partial denture. According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration. The final restoration was performed after four months of provisional period. CLINICAL IMPLICATION: The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.