Quality Assessment of Systematic Reviews of Temporomandibular Joint Ankylosis Surgical Treatment Outcomes.

AIM: Temporomandibular joint ankylosis (TMJA) management involves many surgical treatment modalities depending on the experience of the operator. A lot of literature has been published on various treatment modalities. Many systematic reviews (SRs) were published without any published prior protocol. So, the study aimed to evaluate the quality of SRs with meta-analysis of TMJA management. MATERIALS AND METHODS: Systematic reviews with meta-analysis were included for the quality assessment using AMSTAR (assessment of multiple SRs) and Glenny et al. checklist by two independent teams. The search was limited to the Medline database archival (from January 1980 to December 2018). RESULTS: The primary search identified 1,507 related articles. After activation of different filters, abstracts screening, and cross-referencing, finally, a total of six studies were assessed to make the overview up-to-date. CONCLUSION: The articles scored 8 to 11 with AMSTAR and 7 to 13 with the Glenny et al. checklist. None of the published reviews received maximum scores. The methodology and heterogeneity are essential factors to assess the quality of the published literature. CLINICAL SIGNIFICANCE: None of the included meta-analysis was registered or published protocol with Prospero or Cochrane before publication for better validity of the studies. The authors are advised to follow reporting criteria so that in the future it is possible to provide the standards of care for TMJA with the highest quality of evidence.

A solvent induced crystallisation method to imbue bioactive ingredients of neem oil into the compact structure of poly (ethylene terephthalate) polyester.

Neem oil, a natural antibacterial agent from neem tree (Azadarichtaindica) has been used to impart antibacterial activity to polyester fabrics. Solvent induced polymer modification method was used and that facilitated the easy entry of neem molecules into the compact structure of polyethylene terephthalate (PET) polyester. The polyester fabric was treated with trichloroacetic acid-methylene chloride (TCAMC) solvent system at room temperature prior to treatment with neem oil. The concentration of TCAMC and the treatment time were optimised. XRD and SEM results showed that the TCAMC treatment causes polymer modification and morphological changes in the PET polyester. Antibacterial activity of TCAMC pre-treated and neem-oil-treated polyester fabric was tested using AATCC qualitative and quantitative methods. Both Gram-positive and Gram-negative organisms were used to determine the antimicrobial activity. It was observed that the treated fabric registers substantial antimicrobial activity against both the Staphylococcus aureus (Gram-positive) and the Escherichia coli (Gram-negative) and the effect increases with the increase in concentration of TCAMC treatment. The antibacterial effect remains substantial even after 25 launderings. A kinetic growth study involving the effect of antibacterial activity at various incubation times was carried out.

Development of iron oxide and titania treated fly ash based ceramic and its bioactivity.

The increasing accumulation of fly ash from thermal power plants poses a major problem to the environment. The present work reflects the novel utilization of this profusely available industrial waste in the form of an antibacterial hard ceramic material by treating fly ash with ferric oxide (Fe2O3) and titania (TiO2) during sintering process at 1600 °C. The developed material shows more than 90% bacterial reduction against both Gram-positive and Gram-negative bacteria. The mechanism of their antibacterial action was studied by transmission electron microscopy (TEM) image analysis of the bacterial cross-section. The developed ceramic material acquires hardness due to the enhancement of the natural mullite content in the matrix. The mullite content and the crystallinity of mullite have shown their increasing trend with increasing concentration of the metal oxide during sintering process. A maximum of ~37% increase in mullite was obtained for 7% w/w Fe2O3 and TiO2. Metal oxide lowered the activation energy of the reaction and enhanced the reaction rate of alumina (Al2O3)-silica (SiO2) to form mullite which increases the hardness. The study highlights novel utilization of fly ash as a hard ceramic antibacterial product (bioceramics) for both structural and hygiene applications in an eco-friendly way.