RESUMEN
Background: Bruxism is defined as the medical term for clenching and grinding of teeth. It?s one of the most common parafunctional habit, occurring both during sleep "Eccentric Bruxism" and wakefulness "Centric Bruxism". Bruxism can result in tooth wear and damage, jaw disorders, headaches and dental restoration damage. Bruxism is usually a subconscious reflex that is often not recognized by the patient. As a consequence, one of the most difficult aspects of this treatable problem is convincing the patient of this disorder. The early diagnosis and management can prevent the breakdown of the dentition and pain in the orofacial region. Although various treatment modalities are present, the successful management of bruxism lies in the precise diagnosis and isolation of the etiology
Aim of the Study: raw conclusions about the existence of a possible relationship between the two, and its clinical relevance
Study selection: dental literature in bibliographic database like PubMed/Medline was searched for the terms "bruxism? and "prosthetic treatment?, relevant studies were critically reviewed were conducted using, as well as combinations of these and related terms
Results: there is no known treatment to stop bruxism, including prosthetic treatment. The role of bruxism is considered as a major cause in the tooth wear process and as informed by the present critical review, the relationship between bruxism and prosthetic treatment is one that relates mainly to the effect of the former on the latter
Conclusion: Bruxism may be included among the risk factors, and is associated with increased mechanical and/or technical complications in prosthodontic rehabilitation, although it seems not to affect implant survival. When prosthetic intervention is indicated in a patient with bruxism, efforts should be made to reduce the effects of likely heavy occlusal loading on all the components that contribute to prosthetic structural integrity. Failure to do so may indicate earlier failure than is the norm
RESUMEN
The x-ray request form is an essential tool for communicating patient data and clinical indication from the referring physicians to radiologic departments and reduction of unnecessary radiation dose to the patient. This study aimed to evaluate the applied x-ray request form formula and to compare between the applied and standard request forms in different radiology departments. Numbers of elements of x-ray request form to be evaluated were assessed and questionnaire forms for technologist and physicians were distributed and data were analyzed using simple statistical method [percentage]. The results of the evaluation of the applied x-ray request form filling elements including [patient full name, age, sex, history, condition, clinical indication, LMP, date of the examination previous x-ray exams, Physician name and clearness of requested exam] were found to be 80%, 60%, 60%, 30%, 30%, 100%, 100% respectively. The total results filling of evaluation of all patient information of 50 x-ray request forms were 50.67%, 26.18%, 28%, 21.09%, 18.18%, 55.9% and 60.03 respectively. This study concluded that providing patients data and clinical indication on the x-ray request form is of vital importance regarding the answers of technologists and physicians in the questionnaire. Regarding to the result it showed that the method of filling patient information in x-ray request form by the referring physicians in addition to the formula of x-ray request form that were applied in Khartoum state hospitals should be reviewed
Asunto(s)
Humanos , Médicos , Derivación y Consulta , Servicio de Radiología en Hospital , Encuestas y CuestionariosRESUMEN
The role of inflammatory markers in diagnosis of acute appendicitis has not been clearly defined. To determine the diagnostic value of WBC count and C-reactive protein in diagnosis or rejection of acute appendicitis in children. In a prospective study, 100 child with probable diagnosis of acute appendicitis [Alvarado score = 5] referred to Tabriz Pediatric Hospital during 14 months from April 2007 to May 2008 were studied. Serum CRP, WBC count, and neutrophil percentage were compared in patients with and without definite diagnosis of acute appendicitis. Out of 100 patients, 54 were males and 46 females with a mean age of 9.6 +/- 2.7 years. The number of patients with definite diagnosis of acute appendicitis was 48. Children with final diagnosis of acute appendicitis had significantly higher value of inflammatory markers. Elevated CRP showed the greatest sensitivity [85%] and negative predictive value [83%]. None of the children with normal markers had acute appendicitis. This study showed that despite elevation of these inflammatory markers in patients with acute appendicitis, it is unwise to completely rely on results of such tests in confirming or rejecting the disease. Normal values obtained for all three markers are unlikely to be associated with pathologically confirmed appendicitis in children