Disadvantages Of Anabolic Steroid: A Case Study

The word steroid - we all know these are life saving drugs. Steroids have different meanings. Steroids are chemicals, often hormones that your body makes naturally. They help your organs, tissues, and cells do their jobs. Steroids can also refer to man-made medicines. We all know misuse of anything could be fatal. Nowadays anabolic steroids are very common especially in young adults going to gym for making muscles. Gym trainers are giving them steroids by saying and assuring that it will help them to build their muscle and body mass index. In some cases it can become life threatening too. Here in this article I’m going to present such case in which a young boy of just 25 years of age has taken such steroids and lands himself in deep trouble. He was healthy but the moment he joined gym, everything was ruined. He was diagnosed with AVN (Avascular Necrosis) of hip joint. AVN is a deadly pathology in which death of bone tissue occur due to lack of blood supply. Now he is not able to walk on his own and using wheel chair. So this article is basically awareness to young generation who are running behind this stuff and making their life hell.

Effect of different stripping techniques on pulpal temperature: in vitro study

ABSTRACT Introduction: Proximal stripping of enamel is a routine clinical procedure employed in orthodontics to create space or for balancing tooth size discrepancies. This procedure may result in heat transfer to the pulp, predisposing it to histopathological changes and necrosis of the pulp tissue. Objective: To measure the temperature changes in the pulp chamber during different stripping procedures. Methods: 80 proximal surfaces of 40 extracted human premolar teeth were stripped using four techniques: diamond burs in air-rotor handpiece with air-water spray; diamond burs in micromotor handpiece, with and without a coolant spray; and hand-held diamond strips. A J-type thermocouple connected to a digital thermometer was inserted into the pulp chamber for evaluation of temperature during the stripping procedure. Results: An increase in the pulpal temperature was observed for all stripping method. Diamond burs in micromotor handpiece without coolant resulted in the higher increase in temperature (3.5oC), followed by hand-held diamond strips (2.8oC), diamond burs in air-rotor with air-water spray (1.9oC); and the smallest increase was seen with diamond burs in micromotor handpiece with coolant (1.65oC). None of the techniques resulted in temperature increase above the critical level of 5.5oC. Conclusion: Frictional heat produced with different stripping techniques results in increase in the pulpal temperature, therefore, caution is advised during this procedure. A coolant spray can limit the increase in temperature of the pulp.

RESUMO Introdução: o desgaste proximal do esmalte é um procedimento clínico rotineiro utilizado na Ortodontia para se criar espaços ou equilibrar discrepâncias de tamanho dentário. Esse procedimento pode resultar em transferência de calor para a polpa, predispondo-a a mudanças histopatológicas e necrose do tecido pulpar. Objetivo: medir as mudanças de temperatura na câmara pulpar durante diferentes procedimentos de desgaste interproximal. Métodos: 80 superfícies proximais de 40 pré-molares humanos foram desgastadas utilizando-se quatro técnicas diferentes: brocas diamantadas em motor a ar (alta rotação) com spray de água e ar; brocas diamantadas em micromotor (baixa rotação) com e sem spray de resfriamento; e tiras diamantadas manuais. Um par termoelétrico do tipo J conectado a um termômetro digital foi inserido na câmara pulpar para avaliação da temperatura durante o desgaste proximal. Resultados: foi observado um aumento da temperatura da câmara pulpar em todos os métodos de desgaste proximal. As brocas diamantadas em micromotor sem resfriamento foram responsáveis pelo maior aumento da temperatura (3,5oC), seguidas pelas lixas diamantadas manuais (2,8oC) e brocas diamantadas em motor a ar (alta rotação) com spray de água e ar (1,9oC). O menor aumento foi observado com as brocas diamantadas em micromotor (baixa rotação) com resfriamento (1,65oC). Nenhuma das técnicas elevou a temperatura acima do nível crítico de 5,5oC. Conclusão: o aquecimento friccional produzido pelas diferentes técnicas de desgaste proximal levou ao aumento da temperatura da câmara pulpar; assim, cuidados devem ser tomados durante esse procedimento. O spray de água e ar pode limitar o aumento da temperatura da polpa.

The Effect of Triphala and Chlorhexidine Mouthwash on Dental Plaque and Gingival Inflammation

Introduction: Mechanical removal of plaqueby means of brushing and flossing is time-consuming and is also technique sensitive. Hence, effective plaque control of 100% may not be rendered always by these techniques. Adjuncts in the form of medication or mouthwashes are always recommended to assist tooth brushing in plaque control. The use of herbal mouthwashes has been a boon to control the oral health-related problems. Triphala is one of the best-known combinations used for various ailments in Ayurveda. The present study is thus aimed at comparing chlorhexidine and triphala,asan anti-plaque agent, and for treating gingivitis among adult patients. Materials and Methods:Atotal of 210 patients were randomly divided into three groups: Group 1: Chlorhexidine (0.2%) Group 2: Triphala (0.6%) Group 3: Control group with no mouthwash. The examinations were done at baseline, 7 days, and 15 days using the gingival index and plaque index.Chi-square test was used to compare the inter- and intra-group findings usingSPSS 20.0 (Chicago, U.S.A). Results:Even though a higher percentage of patients showed greater improvement with Group 2 intervention than Group 1, the difference was not found to be statistically significant after 7 days of observation. After 15 days, the Group 2 patients showed lesser plaque accumulation compared to Group 1, yet this difference was not found to be statistically significant. With respect to gingivitis, even though more patients were showed improvement with respect toGroup 2 than Group 1 after 7 days and 15 days of observation, the difference was not found to be significant. Overall, the intervention with triphala provided better results than with chlorhexidine, but this was not statistically significant. Conclusion: Triphala and chlorhexidine help as an adjunct to toothbrushing for the control of plaque and resultant gingivitis. Triphala can be used as a substitute to avoid the side effects of the long-term use of chlorhexidine.