ABSTRACT
UNLABELLED: The present clinical study was undertaken to determine the effects of splinting overunsplinted mobile teeth following periodontal surgery and compared the efficacy of two splinting materials, i.e. Ribbond ribbon + Composite with Stainless steel wire + Composite. MATERIALS AND METHODS: Total of 30 patients (20 experimental and 10 control) formed the study group. Entire study was extended over a period of 12 weeks for each patient and treatment plan was divided into 8 phases. Healing response was monitored and application, durability, biocompatibility of splint material was assessed. RESULTS: Splint had a promising and beneficial effects on anterior teeth exhibiting Grade I to Grade II degrees of mobility. Experimental group showed a greater reduction in tooth mobility compared to control group. There was no significant difference in plaque index and Ribbond Ribbon reinforced with composite resin was an excellent material for application, patient comfort, resistance to fracture, biocompatable and esthetic acceptability. CLINICAL SIGNIFICANCE: Splinting is recommended as an adjunct to periodontal surgery in the treatment of hypermobile teeth, especially in cases where patient discomfort is a prominent factor.
Subject(s)
Chronic Periodontitis/therapy , Composite Resins/chemistry , Dental Materials/chemistry , Periodontal Splints , Polyethylene/chemistry , Stainless Steel/chemistry , Tooth Mobility/therapy , Acid Etching, Dental/methods , Adult , Biocompatible Materials/chemistry , Dental Bonding/methods , Dental Plaque Index , Dental Prophylaxis , Equipment Design , Esthetics, Dental , Female , Follow-Up Studies , Humans , Male , Middle Aged , Pain Measurement , Patient Care Planning , Stress, Mechanical , Subgingival Curettage , Surgical Flaps , Tooth Mobility/classificationABSTRACT
Antipsychotic drugs can cause neutropenia, which can progress to life-threatening agranulocytosis if drug therapy is not interrupted. The newer atypical antipsychotics are reputedly without adverse hematological effects. Quetiapine is a recently introduced atypical antipsychotic. It is a dibenzothiazepine derivative and shows similarities with clozapine in that it is characterized by high 5-HT(2)-relative-to-DA(2) receptor affinity. Although adverse effects are usually mild, the author reports here a case of leucocytopenia and thrombocytopenia with quetiapine treatment that required its discontinuation.
Subject(s)
Antipsychotic Agents/adverse effects , Dibenzothiazepines/adverse effects , Leukopenia/chemically induced , Thrombocytopenia/chemically induced , Anti-Anxiety Agents/administration & dosage , Antimanic Agents/administration & dosage , Antipsychotic Agents/administration & dosage , Bipolar Disorder/complications , Bipolar Disorder/drug therapy , Clopenthixol/administration & dosage , Clopenthixol/analogs & derivatives , Humans , Leukocyte Count , Leukocytes/drug effects , Leukopenia/diagnosis , Lorazepam/administration & dosage , Male , Middle Aged , Neutrophils/drug effects , Psychomotor Agitation/complications , Psychomotor Agitation/drug therapy , Quetiapine Fumarate , Risperidone/administration & dosage , Thrombocytopenia/diagnosis , Valproic AcidABSTRACT
OBJECTIVE: To delineate concepts, categories, causes of common mental disorders (CMD) and their treatment as understood by traditional healers practicing in rural South India. METHODS: Key informant interviews, focus group discussions and in-depth interviews with traditional and faith healers were conducted to identify concepts, causes, presentations and treatments for CMD. Patients attending clinics conducted by these healers were interviewed using the Tamil versions of the Revised Clinical Interview Schedule (CIS-R) and the Short Explanatory Model Interview (SEMI) in order to identify CMD and understand their explanatory models of illness respectively. RESULTS: Different terms, concepts and treatments were used by traditional and faith healers. A total of 72 patients were interviewed using the CIS-R and the SEMI. Thirty (42.3%) satisfied the International Classification of Diseases-10 Primary Care Version criteria for CMD. Mixed anxiety depression was the most common diagnosis (40%). CONCLUSIONS: An understanding of local patient perspectives of common mental disorders will allow modern medicine to provide culturally sensitive and locally acceptable health care.
