A retrospective cross-sectional study on the prevalence of hypodontia in a target population of Al-Jouf Province, Saudi Arabia.

AIM: The purpose of this retrospective study was to determine the prevalence of hypodontia and to ascertain the need of interdisciplinary treatment for ensuing esthetic and functional problems in a target population of Al-Jouf Province, Saudi Arabia. SUBJECTS AND METHODS: Using a dental administration software tool, a total of 1267 patients who presented to the outpatient clinics of the Orthodontic and Prosthodontic Departments between March 2015 and January 2016 were identified. Of those, 694 were females and 573 were males. All permanent teeth were investigated, except third molars. RESULTS: The prevalence of hypodontia was 6.1%. The difference between genders was not statistically significant (P = 0.597) although female hypodontia prevalence was higher than males (6.6% and 5.5%, respectively). The majority of patients had one or two missing teeth. There were no significant differences between right and left sides for any particular tooth. The most commonly missing teeth were mandibular second premolar (40.1%), followed by the maxillary lateral incisor (20.4%) and then the maxillary second premolars (12.6%). CONCLUSIONS: The prevalence of hypodontia in Al-Jouf Province, Saudi Arabia, was within the average values portrayed in the majority of the published literature. The majority of affected individuals had one or two missing teeth. None of the patients examined had more than four missing teeth. There were no significant differences in the distribution of hypodontia between the affected jaws according to gender. Although less prevalent, considerable cases of bilateral missing teeth were found in the present study which necessitates the need for urgent interdisciplinary intervention and management.

Prevalence of malocclusion among 12 to 15 years age group orphan children using dental aesthetic index.

OBJECTIVE: The study was done to determine the prevalence of malocclusion and orthodontic treatment among orphan children. MATERIALS AND METHODS: The sample consisted of 165 orphan children aged between 12 and 15 years. A clinical examination was used to determine the orthodontic treatment need according to the Dental Aesthetic Index (DAI). The statistical software namely SPSS version 15.0 was used for the analysis different parameters as gender and age. RESULTS: The prevalence of definite, severe and very severe malocclusion was more among males than females and it increased with age. 16.4% subjects needed orthodontic treatment ranging from slight to mandatory form. CLINICAL SIGNIFICANCE: The prevalence and severity of malocclusion was more among orphan children as they are deprived of healthy lifestyle. So, they should be identified and corrective measures instituted at the earliest to prevent a widespread impact on their psychological development.

Frictional resistance between orthodontic brackets and archwire: an in vitro study.

AIM: The purpose of this investigation was to determine the kinetic frictional resistance offered by stainless steel and Titanium bracket used in combination with rectangular stainless steel wire during in vitro translatory displacement of brackets. MATERIALS AND METHODS: In this study. Brackets: (All brackets used had a torque of - 7° and an angulation of 0°): (1) Dynalock (Unitek) 0.018'' slot, 3.3 mm bracket width, (2) Mini Uni-Twin (Unitek) 0.018'' slot, 1.6 mm bracket width, (3) Ultra-Minitrim (Dentaurum) 0.022'' slot 3.3 mm bracket width, (4) Titanium (Dentaurum) 0.022'' slot, 3.3 mm bracket width. WIRES: (1) 0.016 x 0.022'' stainless steel (Dentaurum), (2) 0.017 x 0.025''stainless steel (Unitek), (3) 0.018 x 0.025'' stainless steel (Dentaurum), elastomeric modules (Ortho Organisers), 0. 009'' stainless steel ligature wires, hooks made of 0.021 x 0.025'' stainless steel wires, super glue to bond the hooks to the base of the bracket, acetone to condition the bracket and wires before testing and artificial saliva. Brackets were moved along the wire by means of an Instron universal testing machine (1101) and forces were measured by a load cell. All values were recorded in Newtons and then converted into gms (1N-102 gm). 200 gm was then subtracted from these values to find out the frictional force for each archwire/bracket combination. For each archwire/ bracket combination three readings were taken under wet and dry condition and also with stainless steel ligature and elastomeric modules separately. RESULTS: The results showed that narrow brackets generated more friction than wider brackets. Frictional force was directly proportional to wire dimension. Titanium brackets generated more friction than stainless steel brackets. Archwire and bracket ligated with elastomeric module generated more friction than when ligated with stainless steel ligature wire. Frictional forces in the wet condition were greater than in the dry condition for all archwire to bracket combinations. CONCLUSION: Frictional force was seen to be inversely proportional to bracket width, frictional force was inversely proportional to bracket width, and in the wet condition were greater than in the dry condition for all archwire to bracket combinations. CLINICAL SIGNIFICANCE: This study of friction is its role in lessening the force actually received by a tooth from an active component such as a spring, loop or elastic. Hence greater applied force is needed to move a tooth with a bracket archwire combination demonstrating high magnitudes of friction compared with one with a low frictional value.

Soft skill appraisal for dentistry: a tool for positive practice management.

UNLABELLED: Soft skills adoption is a learning experience for every practitioner and every academician. Author has expressed his opinion for success through educational and real values of soft skill. Soft skills behavior of individual and institution help in achieving desirable goals in general and specialty practices. Author also focused on some realistic soft skill methods for improvisation of practices for all doctor. CONCLUSION: These skills indulge positive energy in human relationship for working in symbiosis and explore infinite capabilities at institutional and doctoral level. Here, some optimistic suggestions are given for improving dental practices and academic fulfillments. CLINICAL SIGNIFICANCE: These soft skills help to organize, plan and manage, and track changes during the course of the growing dental practices. However, understanding of the soft skills in practice management, its simplicity and complexity and also, its contributing factors, helps practitioners to understand the dynamic, social and complex contexts of practices. It is really helpful to all practitioners to grow their practices using soft skills.

Prophylactic use of manual thrombectomy in ST-segment elevation myocardial infarction.

OBJECTIVE: We sought to evaluate the effects of manual thrombectomy on myocardial reperfusion performed during percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI). BACKGROUND: Complete reperfusion after primary PCI is compromised by the presence of intraluminal thrombus. Thus effective and safe extraction of thrombus in a timely fashion is important for successful reperfusion. METHODS: Thirty-two patients (age 51+/-12 years, males 78%) with STEMI and angiographic evidence of intraluminal thrombus underwent thrombectomy during an 18-month period. Thrombectomy was performed after the presence of thrombus was confirmed angiographically by the operator either before or after primary angioplasty. Thrombectomy was performed using the 6F Export Aspiration Catheter (Medtronic Corporation, Santa Rosa, CA, USA). Myocardial reperfusion using Thrombolysis in Myocardial Infarction (TIMI) flow and myocardial blush grade was assessed by two independent observers. RESULTS: The infarct-related artery was left anterior descending (59%), right coronary artery (19%), saphenous venous graft (19%), or left circumflex artery (3%). The coronary lesion was Type B in 62% and Type C in 37% patients, with an average length of 18.2+4.6 mm and reference vessel diameter of 3.2+/-0.4 mm. The preprocedural TIMI flow was 0 in 62%, 1 in 12%, 2 in 22%, and 3 in 3% of patients. The postprocedural TIMI flow was 0 in 3%, 1 in 6%, 2 in 25%, and 3 in 56% of patients. The postprocedural myocardial blush grade was 0 in 6%, 1 in 9%, 2 in 35%, and 3 in 48% of patients. The in-hospital mortality was 0 and the 30-day mortality was 3%. CONCLUSION: Manual thrombectomy using an Export catheter is safe and effective in establishing myocardial reperfusion after STEMI.

Self-expanding intracoronary stent for symptomatic myocardial bridging.

Myocardial bridging has been recognized as a potential cause of symptoms of angina, arrhythmias and even infarction. Various treatment strategies including beta-blockers, surgery and more recently intra-coronary stents have been used to manage bridging. We report a novel case of use of self-expanding stent for myocardial bridging in a patient with symptoms of angina and ischemia on nuclear imaging. We further present the 18-month follow up showing minimal in-stent stenosis. To our knowledge, this is the first report of using a self-expanding stent in myocardial bridging. The use of self-expanding stents could be a potential treatment for symptomatic myocardial bridging.

Is primary hyperaldosteronism a risk factor for aortic dissection?

Primary hyperaldosteronism is a rare (<1%) and underdiagnosed cause of secondary hypertension. We present a case of aortic dissection in a patient with primary hyperaldosteronism. To our knowledge, there are six other reported cases of aortic dissection in patients with primary hyperaldosteronism. Our case strengthens the hypothesis that primary hyperaldosteronism is a potential independent risk factor for aortic dissection.