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Original Research Article
DIPLOPIA FOLLOWING MID FACE FRACTURES – A PROSPECTIVE CLINICAL STUDY.
Author Name: Dr. Sobitha.G, Dr. Muhammad Ali.T
Abstract: BACKGROUNDAND OBJECTIVE: Mid face trauma needs careful ophthalmological evaluation to assess the presence of vision threatening injuries. Injuries like diplopia mostly occur in midface fractures involving orbit. Inappropriate treatment can be a devastating experience for the patients. It can also lead to medico-legal aligations. Timely detection and correction of injuries reduces morbidity. The prevalence and co-relationship of diplopia in midface fractures and frequency of surgical correction needed is assessed in this study. METHODS: This study assessed 401 patients with Lefort I, Lefort II, Lefort III, zygomatic complex and naso-ethmoid fracture. Assessment of diplopia in facial fractures was done through clinical examination and specific tests. Ophthalmological evaluation was completed under the guidance of a registered ophthalmologist. Orbital injuries that lead to diplopia was assessed clinically and radiographically. The statistical test used in the study was chi square test and software employed is SPSS RESULTS: The incidence of diplopia was 15.7% in the present study. Zygomatic complex fractures with involvement of the lateral wall of orbit and the infra orbital rim along with extension to the orbital floor showed highest association with diplopia. Among 401 patients 68 presented with diplopia and among this majority was having zygomatic complex fractures CONCLUSION: Based on the study it can be concluded that all mid face fracture need a comprehensive ophthalmological evaluation to rule out vision threatening injuries. Early surgical intervention was needed in the correction of hypoglobus, diplopia etc. Zygomatic- complex fracture was the main midface fracture associated with highest incidence of ophthalmic and orbital injuries.
Keywords: Diplopia, supraorbital rim, infraorbital rim, floor fracture , extraocular movements.
Review Article
VIRTOPSY : FUTURE OF AUTOPSY ?
Author Name: Dr. Sudharani, Dr. Pradeesh Sathyan, Dr. Latha Mary Cherian, Dr. Sabu Paul
Abstract: Virtopsy which literally means virtual autopsy, a scalpel-free procedure of autopsy subsequently developed into a multitool documentation and analysis research project, combining 3D body surface imaging methods with merged CT/magnetic resonance imaging (CT/MRI) data and 3D shape analysis. It is a simple, non-invasive procedure to record the surface and internal features of the deceased. As virtopsy involves preserving the records, it is immensely helpful for future correlations. This technique is a new development in the field of forensic sciences, and its acceptability in the court of law is yet to be proved. Scientific rationale and practical merits of virtopsy salutes and respects the religious and emotional sentiments of various ethnic groups. The present article is an overview of this emerging technique
Keywords: Virtopsy, Imaging methods, Forensic sciences.
FIXED PARTIAL DENTURE REMOVAL – WHEN, WHY AND HOW?
Author Name: Dr. Jibi Joseph, Dr. Eldo Koshy, Dr. Anu Anna Paul Dr. Sheryl Roy
Abstract: Permanently cemented restorations may need to be removed for various reasons, such as elimination of secondary caries beneath the crown, endodontic treatment of a tooth with irreversible pulpitis, or removal of a fixed partial prosthesis with a loosened retainer at one end. However, disassembly of a fixed prosthesis is always an unpredi c table procedure that may end in complications. The aim of this paper is to explain different methods of removal systems, and when and why they might be considered.
Keywords: Cementation failure, Ultrasonic, Jack-screw, Disassembly, Crown-splitter
FAILURE IN ENDOSSEOUS IMPLANTS: AN OVERVIEW
Author Name: Mupparapu Anudeep, Snigdha Priya Gopinagaruri Vidhi Sangra, T V Naga Sai Suma, Kalisipudi Sandeep, Mohammad Abdulsadik
Abstract: In present world endosseous dental implants have been a successful treatment alternative for restoring missing teeth. Dental implants have almost replaced old school fixed and removable prosthesis and with the introduction of the concept of osseointegration, the success of dental implants has increased dramatically because of better understanding of bone response and the improvement in bone loading concepts. As every treatment has its own pros and cons ,implants are also not successful in every case, as evidenced by reports reviewing the reasons for implant failures. The focus of implant research is shifting from descriptions of clinical success to the identification of factors associated with failure
Keywords: Endosseous, Failure, Implant,Periimplantitis, Tooth.
Case Report
NON-SURGICAL CORRECTION OF MILD VERTICAL MAXILLARY EXCESS USING ORTHODONTIC IMPLANTS – A CASE REPORT
Author Name: Dr. Joseph Varghese
Abstract: This case report illustrates straightforward non-surgical maxillary arch intrusion in a skeletal Class I facial profile to correct a gummy smile. Skeletal anchorage using orthodontic miniscrew implants can now be used to achieve full maxillary arch intrusion. For this patient, orthodontic treatment along with three microscrew implants achieved excellent aesthetics in 13 months, and the treatment results remained stable even 10 years post treatment.
Keywords: Gummy smile, TAD, microscrew implant, maxillary arch intrusion.