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Category - Editorial
[Issue 1-Volume 1]
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No. of downloads - 128174
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 - 10914
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 - 10483
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 1]
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No. of downloads - 10193
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 -
[Issue 1-Volume 3]
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No. of downloads - 8245
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 - Case Report
[Issue 1-Volume 3]
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No. of downloads - 7419
Title:
Regenerative Endodontic Management of a Periapical Lesion using Platelet Rich Fibrin: A Case Report
Abstract:

Periapical inflammatory lesions occur in response to the ingress of microbes from the root canal. The treatment rendered in endodontic procedures includes root canal cleaning and shaping followed by obturation. In an event when the pathology cannot be cleaned due to obturation, surgical intervention has to be delivered. The rationale of surgical endodontics is to eliminate the pathological tissue in an infected necrotic tooth present at the apex of a root canal and throughout the apex and retrofill the space inside the root canal with biologically inert material so as to achieve a tight seal. Herein we are documenting a case report of 26-year-old male patient with a chief complaint of swelling and pain in the upper front teeth region and a large bony defect radiologically in which a periapical endodontic surgery was performed. The surgical defect was filled with platelet-rich fibrin (PRF). Clinical examination revealed uneventful wound healing. Radiologically, the defect has been almost entirely replaced by new bone at the end of 8  months. On the evidence of the outcomes obtained in our case report, we hypothesize that healing process was enhanced by an autologous PRF and can be used as a regenerative material of choice in such type of endodontic procedures.

Category -
[Issue 1-Volume 3]
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No. of downloads - 7366
Title:
Incidence of Hyponatremia in Critically Ill Patients in Intensive Care Unit: Observational Study
Abstract:

Background: Hyponatremia is defined as common electrolyte disturbance or decline blood sodium concentration in critically ill patients. Hyponatremia often results in intensive care unit (ICU) admissions and are also associated with significant mortality and morbidity. The study was undertaken to assess the follows points: (1) To assess the incidence of hyponatremia in patients in ICU. (2) To describe the etiological factors responsible for hyponatremia. (3) To describe clinical manifestations of hyponatremia. (4) To describe treatment modalities for hyponatremia in ICU patients. Materials and Methods: (1) Study design  - Cross-sectional. (2) Study period - 01/09/2014 to 01/05/2015 data on patients admitted to the hospital in the ICU with hyponatremia were collected. (3) Inclusion criteria  - Patients admitted to the ICU with serum sodium levels ≤130 mEq/L, age of patients >18  years. (4) Exclusion criteria  - Patients, who did not give consent, age of the patients <18  years, patients admitted to the ICU with serum sodium levels >130 mEq/L, and post-operative patients. (5) Sample size: 100  cases. (6) Sampling type: Purposive. Results: A total of 100 hyponatremic and 50 non-hyponatremia critically ill admitted patients in ICU were observed and evaluated out of which 41 (hyponatremic) [Table 2] were males and 59 were females in the study. We have included the non-hyponatremia patients to evaluate with hyponatremia patients. In our study, we observed that in hyponatremic patients, 66% patients had neurological manifestations. These include seizures, reduced consciousness level, confusion, unsteadiness, and falls. Conclusion: Hyponatremic patients should be diagnosed early in ICU, and the treatment should be start accordingly. It is frequent finding in critically ill patients admitted to ICU. Most etiological factors involved in it are severe sepsis, renal failure, liver cirrhosis, trauma, hypothyroidism, and hypocortisolism. A  patient with hyponatremia needs longer duration stay in ICU with higher mortality rate and longer ventilation days.

Category - Review Article
[Issue 1-Volume 7]
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No. of downloads - 7033
Title:
Nerve Conduction Study Findings in Ulnar-Median Nerve Intercommunications in the Upper Limb: A Short Review
Abstract:
Intercommunications between ulnar and median nerves in the forearm and hand are a commonly encountered phenomenon. Clinicians should be aware of these communications for better diagnosis and management of the patient, as the clinical presentation can often be misleading. Surgeons should be aware of these anastomoses so as to prevent any iatrogenic injury during the course of treatment. Furthermore, these intercommunications can distort the findings on nerve conduction studies, leading to misinterpretation and misdiagnosis. In the forearm region, there are two prominent median-ulnar anastomoses, namely, Martin–Gruber anastomosis (MGA) and reverse MGA (Marinacci anastomosis). Similarly, in the palm too, there are two major anastomoses, namely, Riche–Cannieu anastomosis and Berrittini anastomosis. Here, in this review, we would like to emphasize on electrophysiological findings that can be observed in the presence of such anastomoses.
Category -
[Issue 1-Volume 3]
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No. of downloads - 6972
Title:
Irritational Fibroma of Lower Labial Mucosa: A Case Report
Abstract:

Traumatic or irritational fibroma is a general benign exophytic tumor or neoplasm of fibrous connective tissue origin that can be considered a reactionary connective tissue hyperplasia in response to trauma and irritation. They are clinically marked by solid well-demarcated rounded, sessile, or pedunculated growths covered by normal mucosa and are a relatively uncommon lesion. Local trauma can generate ulceration of these lesions. They are usually seen on the buccal mucosa but can also occur at any intra-oral site. These lesions are more common in adults and can befall at any age. A  malignant transformation in such fibroma or lesion is uncommon. Simple, complete excision and removal of the cause of irritation are the preferred treatment. It is the common type of lesion for which the treatment of choice is complete surgical excision.

Category - Editorial
[Issue 1-Volume 6]
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No. of downloads - 6453
Title:
Oral Cancer – Screening and Prevention
Abstract:
In the digital era of the 21st century, where computer and humans are working together in almost every fields.
In this era, oral cancer and its morbidity with one of the highest mortality rates among all other malignancies is
also increasing day by day, hour by hour, and minute to minute.
Category - Original Article
[Issue 1-Volume 6]
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No. of downloads - 6140
Title:
Feasibility of Different Methods after Debonding of Orthodontic Brackets: An In Vivo Study
Abstract:
Aim: This study aims to evaluate and compare the discomfort levels during debonding using different three methods and adhesive remnant index (ARI) scores compared. Materials and Methods: Sample comprised 50 female patients from single clinic of an average age of 24 years and 5 months. Three methods used were lift-off debonding instrument (LODI), straight cutter, and Howe plier. At the end of debonding in each quadrant, discomfort levels were assessed using visual analog scale (VAS). Remaining adhesive on enamel surface was studied with the help of ARI. Results: Pain scores were significantly higher for SC method. LODI group showed least discomfort. ARI showed significantly different results with three methods used. Conclusion: Patients showed least discomfort when LODI method was used.
Category -
[Issue 1-Volume 4]
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No. of downloads - 5913
Title:
Patient-oriented Problem-solving: An Effective Educational Tool for Learning Immunology
Abstract:

Background: Medical teaching requires innovative methods through which teachers can provide a student-centered learning environment that improves students’ learning through their active participation. The patient-oriented problem-solving (POPS) system is an active learning tool that permits students to work in small groups to solve clinical problem, promotes self-learning, enhances clinical reasoning, and enriches their knowledge, and long-term memory. The aim of the study was to implement POPS session in immunology course and assess the students’ perception of the effectiveness of POPS teaching in learning immunology. Methodology: 121 students were divided into small groups of 10 each. The pre-test questions were given to assess their previous knowledge before the POPS activity. Post-test questions were given after the activity to check the effectiveness of POPS session in learning. A  questionnaire was also given at the end of the activity to assess the students’ perception of POPS activity in learning. The data were collected, tabulated, and statistically analyzed. Results: Significant improvement in the mean differences between pre-   and post-test scores of the students, suggests the effectiveness of POPS teaching activity. A  majority of the students (>80%) stated that POPS promotes self-learning, creates interest, enhances conceptualization, empowers critical thinking, and problem-solving skills. Conclusion: POPS activity is a good educational method to enhance the learning skills of the medical students.

Category -
[Issue No. 2-Volume 4]
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No. of downloads - 5895
Title:
Oral Myiasis - Series of Case Report and Literature Rev
Abstract:
Oral myiasis was coined by Reverend F. William Hope in 1840. It is a rare pathology and risk to the patients in humans suffering from myiasis. It has a higher incidence in rural areas and in developing countries having hot climatic conditions such as tropical and sub-tropical zones of Africa and America. Most of the infestations are associated with various predisposing factors such as poor oral hygiene, suppurative lesions, senility, alcoholism, and debilitating conditions and also reported in post-extraction socket. The diagnosis is made basically by the presence of larvae. This article deals with traumatic oral myiasis in healthy male and myiasis in mentally challenged female patient. The treatment consisted of manual removal of the larvae by topical application of turpentine oil and surgical debridement of the wound.

 

Category -
[Issue 1-Volume 3]
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No. of downloads - 5771
Title:
Nasoalveolar Morphology Following Presurgical Orthopedic Treatment in Unilateral Cleft Lip Alveolus and Palate Infants
Abstract:

Aim: The importance of presurgical orthopedic treatment is widely recognized. The objectives are to monitoring function (feeding, tongue posture), aiding speech development. It helps the surgeon to close the floor of the nose, stimulate palatal bone growth, reduce middle infection, and prevent the collapse of the palatal segment. The purpose of this study was to examine characteristics of the nasoalveolar and palatal configurations in the complete unilateral cleft lip and palate (UCLP) patients and to determine the effect of early orthopedic treatment in complete UCLP patients. Materials and Methods:   A  total of 20 infants were included in the study divided into two groups. Group A consisted of 10 infants with non-syndromic cleft lip alveolus and palate and was treated with presurgical orthopedic treatment Hotz appliance for 3 months. Group B comprises 10 infants of 5 months without cleft lip and palate deformity included in the study as the control group. Results: The test showed a statistical difference regarding the decrease in cleft alveolus width, the decline in the width of the nostril on the cleft side. The intercanthal distance increased at the end of 3 months following the use of Hotz plate (P = 0.001) statistically significant. The alar width decreased at the end of the 3 moths which is statistically significant (P = 0.001). Conclusion: The alveolar dimensions in children with UCLP can approach the dimensions of non-cleft contemporaries in spite of surgical interventions, but the dimensions are, as a rule, under the mean values of normal. Each alveolar segment grew along the guidance of Hotz’s plate, and the growth was found mainly at the edge of the alveolus. The anterior nasal spine and nasal septum did not seem to influence by passive appliances such as Hotz’s plate.

Category -
[Issue 1-Volume 3]
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No. of downloads - 5522
Title:
Conventional to Robotic Surgery-Robotic Evolution
Abstract:

Robotic surgery or robot-assisted surgery is new, exciting, highly advanced surgical technique, and a viable option for patients requiring complex surgical procedures.