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Category - Editorial
[Issue 1-Volume 1]
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Title:
Editor Desk’s: Inaugural of International Journal of Dental and Medical Specialty
Abstract:
It is with great pleasure that we are pioneering the maiden issue of International Journal of Dental and Medical Specialty (IJDMS), a new specialty oriented and blind peer-reviewed professional journal to the national as well as the international community of practicing physicians and research scholars both in dental as well as various medical specialties. IJDMS has been created to become a journal of choice for excellent student, as well as faculty-led research work.
Category - Case Report
[Issue 1-Volume 1]
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No. of downloads - 3427
Title:
Facial Talon’s Cusp: A Reverse Claw and Rare Dental Anomaly
Abstract:

Facial talon cusp (Dens evaginatus) is a very rare developmental anomaly of unclear etiology and significance can also be seen associated with some syndromes. Here the present report describes a 10-year-old female with facial talon cusp on mandibular permanent right central incisors. This rare anomaly requires careful dental and physical examination of the affected patient since its finding can be of clinical and genetic significance.

Category - Original Article
[Issue 1-Volume 1]
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No. of downloads - 3240
Title:
Improvement of Mandibular Bone Mass in Postmenopausal Osteoporotic Patients with the Treatment of Zoledronic Acid
Abstract:
 
Aim: The aim of this study was to see the improvement of mandibular bone mass (MABM) in postmenopausal osteoporotic patients treated with bisphosphonate (zoledronic acid). Materials and Methods: A total of 150 postmenopausal osteoporotic patients were divided into two groups under the condition of treated and non-treated. All patients had been evaluated by dual-energy X-ray absorptiometry, radiovesiography. Result: Pixel intensity value of mandibular alveolar bone was significantly different between osteoporosis and treated osteoporosis group (P < 0.05). Conclusion: There are significant improvements of MABM in postmenopausal osteoporotic patient treated with zoledronic acid.
Category - Original Article
[Issue 1-Volume 1]
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No. of downloads - 3226
Title:
A Comparative Study on the Effect of Vernonia amygdalina (Bitter Leaf ) and Glibenclamide in the (Bitter Leaf ) and Glibenclamide in the Treatment of Diabetes in Alloxan-Induced Diabetic Treatment
Abstract:
Aims: The aim of this study is to compare the effect of bitter leaf (Vernonia Amygdalina) and glibenclamide in the treatment of diabetes in Alloxan-induced diabetic albino wistar rats. Materials and Methods: A total of 24 adult albino rats were used for the study. The rats were grouped into three groups of eight animals per group. Group A received 0.5 ml of distilled water and served as the control. Group B received 10 mg/kg/body weight of glibenclamide. Group C received 100 mg/kg/ body weight of bitter leaf extract. Effect of bitter leaf and glibenclamide were observed at every 2 days for up to 2 weeks. Results: The result showed that the extract caused a decrease in blood glucose level on the fourth day, but this was not statistically significant. Also, glibenclamide caused a decrease in the blood glucose level on the third day; this decrease was not statistically significant but slightly significant on the fourth day. On the sixth day, the extract caused a slightly significant decrease but when compared with the sixth day of glibenclamide, the decrease was very significant. From the eight-day to the fourteenth day, the decrease in the blood glucose levels for group B and C became very significant. However, group C (glibenclamide) showed highly significant decrease when compared with group B (extract). Glibenclamide showed significant (p<0.05 or p<0.01) decrease in mean blood glucose level from day 8 to till end (day 14) as compared to bitter leaf extract. Conclusion: The work suggests that Conclusion: The work suggests that glibenclamide has a more potent hypoglycemic effect in alloxan-induced diabetic wistar rats when compared with the extract and may be more effective in the treatment of diabetics.
Category - Original Article
[Issue 1-Volume 3]
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No. of downloads - 1974
Title:
Role of Ultrasonography in Prediction of Technical Difficulties in Laparosopic Cholecystectomy - Clinical Research
Abstract:

Background: Laparoscopic surgery widely, known as single incision laparoscopic cholecystectomy (LC), has been proved as the gold standard surgical technique and is now considered the treatment of choice as well as preferred surgical technique in cholecystectomy. The use of laparoscopic technique in cholecystectomy is widely used for cholelithiasis patients. An abdominal ultrasonography (USG) often precedes this surgery and can verify the diagnosis, as well as help in showing possible complications during the perioperative period. Aim: A prospective study was conducted to evaluate the pre-operative with and without (based on clinical findings) USG findings and predictive difficulties in cholelithiasis patients comparing with surgical findings in LC. The post-operative evaluating criteria were as follows: (1) Duration of surgery, (2) Bleeding, (3) Dissection of Calot’s triangle, (4) Dissection of gallbladder wall, (5) Spillage of bile and stone, (6) Difficulty of gall bladder stone. Methods: We studied and evaluated surgical difficulties in 150  patients of cholelithiasis who underwent abdominal USG test for surgical LC. Variables such as identification and amount of gallstones involved were evaluated, both in pre-operative USG and during surgery to evaluate sensitivity, specificity, concordance and positive and negative predictive values. All patients had routine blood tests (including liver function tests), electrocardiography, chest X-ray, and abdominal ultrasound scan performed preoperatively. All patients received general anesthesia, and the standard Reddick and Olsen technique was performed. The harmonic scalpel was used in all cases. Results: On evaluation of surgical difficulties in cholelithiasis patients, we found 135  females and 15  males for surgical LC. Out of which 36  (24.0%) cases to be predicted as difficult, 26  (17.33%) were laparoscopic converted for open surgery, 36  (24.0%) were technically difficult. 54  (36.0%) cases were predicted easy to perform on USG. On evaluation, our findings were found to be significant, and hence, we concluded that pre-operative ultrasound examination if of importance for predicting difficulties in LC, but still required further studies.

Category - Review Article
[Issue 1-Volume 1]
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No. of downloads - 1650
Title:
Mishaps and Errors in Surgery: A New Chapter (Review)
Abstract:
Health providers either a physician or specialized surgeon make mistakes. They may do errors in procedure, interpretation, ignorance or indeed, seldom, and recklessness. Although in every event, a patient may suffer each time whenever a mistake happens. Despite of that event, every point an error transpires, a case may feel. One fails to uphold one profession’s rudimentary oath: “First, do no harm.” At the cessation be forced to decide to gather all the errors and mistakes made by a dental surgeon or a medical professional and aimed to script it. In this reader, surgeons, health providers and medical professionals can obtain a panel of delegates and article proceeding with the approach of studying from errors moreover should not execute it again and again.
Category - Case Report
[Issue 1-Volume 1]
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No. of downloads - 1643
Title:
Facial Palsy Secondary to Partial Parotidectomy: A Rare Case Report
Abstract:
Unilateral facial nerve palsy is the most-common neurologic disorder mimicking as stroke. It accounts for around 25/100,000 populations. Bell’s palsy is also known as idiopathic facial paralysis, and it is the most common cause of unilateral facial paralysis, accounting for approximately 70% of these cases. Herewith, the present paper reports a rare case of facial palsy secondary to radical mastoidectomy with partial parotidectomy in a 55-year-old female patient.
Category - Review Article
[Issue 1-Volume 1]
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No. of downloads - 1611
Title:
Osseous Choristoma of the Oral Cavity: A Rare Osseous Choristoma of the Oral Cavity: A Rare Entity Review
Abstract:
Osseous choristoma being a benign lesion is an entity rarely seen in the oral cavity. These are usually, well-circumscribed proliferations of histologically normal tissue found in abnormal locations. They are usually composed of compact bone with harvesian systems. The etiology is considered to be developmental malformation or reactive. The most common site being the tongue and other sites being buccal mucosa as well. Through this article, we have tried to highlight various features that would aid in correct diagnosis and treatment planning of this rare lesion.
Category - Original Article
[Issue 2-Volume 1]
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No. of downloads - 1590
Title:
A Study of Efficacy of Microdermabrasion in Treatment of Facial Acne Scars-Original Research
Abstract:
Acne vulgaris is the most common skin disease of the youth especially in puberty age. One of the most common complications of acne is scarring. It has been found to have a significant impact on their psychological well-being and has been associated with depression and suicide ideation. Acne causes emotional upset and impact to the patient by disfiguring face and scarring skin. Multiple surgical treatments are available for acne scars, which include dermabrasion, microdermabrasion (MDA), laser treatments, and dermal fillers. Aims: The aim of this study is to evaluate the efficacy of MDA in facial acne scars in terms of results and patient satisfaction. Materials and Methods: A total number of 50 patients with acne scars, who visited the hospital outdoor patient department, were included in this study. All patients were treated with MDA for 10 sittings, 2 weeks apart. Analysis: Patients were evaluated and analyzed after 10 sittings or before (if the complete response occurred before 10 sittings), both objectively and subjectively (in term of patient satisfaction). Result and Conclusion: Of a total of 50 patients, 25 patients (50%) had moderate scarring and of these 21 (84%) showed good response, 3 (12%) showed fair response and 1 (4%) showed excellent response.
Category - Review Article
[Issue 1-Volume 1]
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No. of downloads - 1481
Title:
Cone Beam Computed Tomography: A Diagnostic Boon in Dentistry
Abstract:

Cone beam computed tomography is a three-dimensional imaging modality and more accurate when compared to digital radiographs. The recent advancement in this technology has reduced the cost as well as the dose to the patients. The advanced software design and powerful computer system have permitted its use in dentistry. Its varied indications in practically all the branches of dentistry have made this progress all the more versatile. Through this review, we have tried to highlight the basis of this technology, its advantages and applications, wherefore proving it to have an edge over the others.

Category - Review Article
[Issue 3-Volume 2]
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No. of downloads - 1402
Title:
Alcohol-containing Mouthwash and Oral Cancer Risk: A Systematic Review
Abstract:
The aim of this article is to assess any possible risk of oral cancer with increased usage of alcohol-based mouthwashes and to provide relevant information regarding the safety of using alcohol-containing mouth rinses. Materials and Methods: Several controversial studies regarding the prolonged use of such mouthwashes containing >25% alcohol causes oral cancers, have been reviewed and undertaken. Analyzing the number of studies done till date, it showed debatable views on the use of alcohol-containing mouthwashes and its relation with causing oral cancers. Many studies supported the use of alcohol-based mouthwashes can cause oral cancer, while few studies showed no significant relation of mouthwashes with oral cancers. Conclusion: To conclude, the relation between mouthwashes containing alcohol and oral cancers is still a contentious issue in the scientific community. On comparing the available reviews, it proved that prolonged use of alcohol-based mouthwashes might cause oral cancers. Thus, it’s advisable for the clinicians to educate patients about the ill-effects of long-term use of alcohol-based mouthwashes and to minimize the number of times it’s used per day. And to prefer the use of nonalcohol-based mouthwashes instead of the former.
Category - Case Report
[Issue 3-Volume 2]
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No. of downloads - 1374
Title:
Deep Vein Thrombosis Following Enteric Fever & Immunological Failure in HIV Positive Soldier: Case Report
Abstract:

Incidence of deep vein thrombosis (DVT) is 2-10  times more in human immunodeficiency virus (HIV)-infected persons than non-HIV cohort. Risk factors involved with DVT in HIV-infected patients are age older than 45  years, use of protease inhibitor in highly active antiretroviral therapy (ART), most common indinavir, hospitalization and presence of AIDS-defining opportunistic infections such as cytomegalovirus, Pneumocystis jiroveci (is a yeast-like fungus particularly in immune-compromised host), and Mycobacterium-intracellular. Others well known thrombogenic risk factors include are such as immobility, cigarette smoking, advanced age, pregnancy, pelvic surgery, and personal or family history of DVT may be absent in HIV-infected patients presenting with DVT. Inflammation and venous thrombosis are related to each other, and the associations between them are strong when the inflammation or the infection has occurred recently, or the inflammation is active. A 29-year-old HIV-positive soldier on first-line ART with poor adherence presented with fever pain abdomen and diarrhea and was diagnosed to have an enteric fever with immunological and clinical failure. He was treated for enteric fever but during treatment of enteric fever he complains of painful left lower limb swelling after 4  weeks and was suspect to have DVT of left lower limb based on Doppler studies. After confirmation of DVT by Doppler images, thrombolytic therapy was started, and gradually improvement was seen in the condition. Recent Infection or inflammation has a strong association with the development of thrombosis in HIV-positive patients, absent with classical predisposing factors of DVT. Physicians involved in the care of HIV-positive patients should be aware of this condition and the associated aggravating risk factors in them so as to provide timely management.

Category - Original Article
[Issue 3-Volume 2]
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No. of downloads - 1307
Title:
Changes in Intra-cerebral Oxygenation During Intravenous and Inhalational Sedation: A Original Research
Abstract:

Although sedatives such as midazolam or nitrous oxide  (N2O) are administered to dental patients, the effects of these drugs on intra?-cerebral oxygenation are not well?-known. Aims: We investigated the effects of intravenous midazolam or inhalational N2O on intra?-cerebral oxygenation using near?-infrared spectroscopy. Setting and Design:   University hospital, prospective. Materials and Methods: During intravenous sedation, volunteers received supplemental oxygen through nasal cannula at 3  L/min for 10  min  (control group). Midazolam  (0.05  mg/kg) was then injected intravenously with flumazenil  (20  mg) injected 30  min later. In the inhalational sedation study, volunteers lay quietly for 10  min receiving 100% oxygen, then received N2O via nasal mask at concentrations of 10%, 20%, and 25% for 5  min; 30% for 20  min; and supplemental oxygen at 100% for 15  min after N2O was discontinued. Statistical Analysis: Intra?-group comparisons were made using one?-way analysis of variance for repeated measures followed by Dunnett’s test for multiple comparisons. Differences were considered statistically significant at P  < 0.05. Results: During intravenous sedation, oxyhemoglobin increased 10  min after midazolam administration, and total hemoglobin increased slightly until 20  min after flumazenil administration, followed by a decrease. During inhalational sedation, oxyhemoglobin increased until 5  min after starting N2O, and total hemoglobin increased until 5  min after starting N2O, followed by a decrease. Conclusions: Midazolam and N2O influenced intra?-cerebral oxygenation during intravenous or inhalational sedation. Cerebral blood flow increased with intravenous sedation when midazolam was administered once at a dose of 0.05  mg/kg and with inhalational sedation when N2O was supplied at a concentration of 25?-30%.

Category - Short Communication
[Issue 2-Volume 1]
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No. of downloads - 1183
Title:
Ligature (Pre Adjusted Edge-wise Appliances) Making Simplified in Orthodontics: Education Pearls
Abstract:
The buccal archwire used in the pre-adjusted edgewise appliances technique is anchored to the brackets by means of ligatures made of soft stainless steel wire of about 0.010 inch diameter. These ligatures are seated under the flanges of the brackets. Various methods have been advocated seating and tying the ligatures. The performed ligatures used in this method differ from those conventionally used in that they can easily and quickly be formed on a jig constructed from available orthodontic material.
Category - Original Article
[Issue 2-Volume 1]
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No. of downloads - 1143
Title:
Lower incisor dentoalveolar compensation and symphysis dimensions in class II and class III patients
Abstract:
The aim was to study and compare lower incisor dentoalveolar compensation and mandibular symphysis morphology of patients with Class II and Class III malocclusion. Materials and Methods: Lower incisor inclination (incisor mandibular plane angle [IMPA]), as well as buccal (LA) and lingual (LP) cortex depth, and mandibular symphysis height (LH) were measured in 60 lateral cephalometric X-rays of adult patients without prior orthodontic treatment. The subjects were divided into three groups based on antero-posterior skeletal malocclusions - Class I (control group), Class II and Class III groups. Results: IMPA and symphysis dimensions showed significant differences between the sagittal malocclusion groups. In Class III subjects, the lower incisor apex was closer to the buccal cortex, therefore, value of LA was decreased and LH was increased. In Class II subjects, the lower incisor apex was near to the lingual cortex, there value of LP was reduced and LH increased. Conclusion: Narrow alveolus was observed in Class II and III subjects compared to the Class I subjects. Natural compensation elongates the symphysis and influences the lower incisor position. Thus limiting the pre-surgical decompensation and increasing the risk of damage to periodontal tissues.