Table of Content

2017 | December | Volume 2 | Issue 3

ORIGINAL ARTICLE

Brijesh Sharma, Tushar Bhati

A Comparative Study of Surgical Treatment of Hemorrhoids: Stapled vs Open and Closed Hemorrhoidectomy

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:5] [Pages No:109 - 113]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0047  |  Restricted |  How to cite  | 

Abstract

Hemorrhoids and piles are used interchangeably very often but originally the words have entirely different meanings. Surgical treatment of hemorrhoids has been suggested for third- and fourth-grade hemorrhoidal disease and include removal of hemorrhoidal tissue. Stapled hemorrhoidectomy [minimally invasive procedure for hemorrhoid (MIPH)] introduction received much enthusiasm as it offers patients a significantly improved postoperative comfort level. The aim of this study is to make comparative assessment of following procedures for hemorrhoids: Stapled hemorrhoidectomy, open hemorrhoidectomy, closed hemorrhoidectomy, in terms of operative time, hospital stay, postoperative complications, and cost-effectiveness. How to cite this article Bhati T, Sharma BK. A Comparative Study of Surgical Treatment of Hemorrhoids: Stapled vs Open and Closed Hemorrhoidectomy. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):109-113.

ORIGINAL ARTICLE

Brijesh Sharma, Navendu Agarwal

Intraoperative Findings and Technique Modification in Acute Cholecystitis in Early and Delayed Groups of Laparoscopic Cholecystectomies: A Randomized Control Prospective Study

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:4] [Pages No:114 - 117]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0048  |  Restricted |  How to cite  | 

Abstract

Introduction Cholecystectomy is the most common surgery performed. The invention of laparoscopic cholecystectomy has made it extremely convenient and safe, but still the question of when to perform the surgery persists. This study attempts to compare the intraoperative findings of acute cholecystitis patients of the early and delayed group and its impact in surgery. Materials and methods Institutional-based prospective randomized control study was done on two groups of patients who were diagnosed and admitted to the General Surgery outpatient department (OPD) of Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India from November 2015 to November 2017. The early group was operated within 7 days of the appearance of symptoms and the delayed group was operated after 6 weeks. Intraoperative findings and modification of technique were duly noted in both and analysis done by applying the chi-square test. Results Acute complications are found to be more in an early group like turbid bile or pus with distended gallbladder in the early group, but adhesions are much more in the delayed group. Technique modification is more required in early as compared with the delayed group. Conclusion An early cholecystectomy is a convenient option for a patient with a nonsignificant technique modification to manage the intraoperative complications. How to cite this article Agarwal N, Sharma BK. Intraoperative Findings and Technique Modification in Acute Cholecystitis in Early and Delayed Groups of Laparoscopic Cholecystectomies: A Randomized Control Prospective Study. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):114-117.

ORIGINAL ARTICLE

Pawan Kumar, Jitendra K Gupta, Usha Acharya

Study of Production of Alloantibodies in Multiple Transfused Thalassemia Patients in Pediatric Age Group

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:4] [Pages No:118 - 121]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0049  |  Restricted |  How to cite  | 

Abstract

Introduction Thalassemia is a heterogeneous group of genetic disorders in which blood transfusion is life saving for thalassemia patients. Repeated transfusion causes multiple unexpected antibodies other than anti-A or B. Aim To detect and subtype the irregular antibodies in sera of thalassemia patients in Jaipur. Materials and methods A total of 100 patients of proven thalassemia were included in the study at Mahatma Gandhi Medical College and Hospital and JK Lon Hospital, Jaipur, Rajasthan, India. Information on transfusion history was recorded, 5 mL of blood was collected from each subject, and plasma was separated. These samples were subjected to direct Coomb\'s test (DCT) by column gel agglutination (CGA) technique. Results In the present study, the alloantibodies which were most common among the seven positive samples out of 100 are anti-D, anti-K, anti-E, and anti-MN, with an incidence of 28.57, 28.57, 28.57, and 14.3% respectively. Blood group O had maximum number of alloantibodies (57%). According to number of transfusions, alloantibodies of thalassemia major patients showed statistically significant increase with increase in number of transfusion. Conclusion From the current study, it can be concluded that alloantibodies to minor group antigens are more frequent among thalassemia patients, which need more frequent blood transfusions. How to cite this article Gupta JK, Kumar P, Acharya U. Study of Production of Alloantibodies in Multiple Transfused Thalassemia Patients in Pediatric Age Group. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):118-121.

ORIGINAL ARTICLE

Ved P Mamoria

A Prospective Study on Prevalence and Antibiotic Susceptibility Pattern of Acinetobacter baumannii in Clinical Samples obtained from Patients admitted in Various Wards and Intensive Care Units

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:6] [Pages No:122 - 127]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0050  |  Restricted |  How to cite  | 

Abstract

Introduction Acinetobacter baumannii is a nonfermentative and nonmotile, Gram-negative coccobacillus, which is the most often identified pathogen among Acinetobacter species that causes wide range of infection in humans. It has emerged as one of the most troublesome pathogens for health care institutions globally. Acinetobacter baumannii strains resistant [multidrug-resistant A. baumannii (MDR-Ab)] to all known antibiotics have now been reported. Aim To determine the prevalence and antimicrobial susceptibility pattern of A. baumannii isolates in the clinical samples obtained from patients admitted in various wards and intensive care units (ICUs). Materials and methods A total of 9,540 clinical specimens [from the patients of inpatient department (IPD)] were collected between March 2016 and February 2017 from various wards and ICUs of Mahatma Gandhi Hospital (MGH), Sitapura, Jaipur, Rajasthan, India. All tests were done at microbiology lab of Mahatma Gandhi University of Medical Sciences & Technology, Jaipur, Rajasthan, India, using standard protocol. Results Of 9,540 (45%) clinical specimens, 4,293 specimens from various wards and ICUs were culture positive. Out of 4,293 positive cultures, Acinetobacter isolates were 276 (6.42%). From 276 Acinetobacter isolates, 230 (83.33%) strains were confirmed as A. baumannii strains and remaining 46 (16.67%) strains as other Acinetobacter species. Maximum frequency of Acinetobacter isolates was from respiratory tract intubated patients (endotracheal samples: 59.5%). Maximum frequency of A. baumannii isolates was recovered from ICUs (63.04%) compared with wards. In our study, most Acinetobacter isolates were resistant (80–99%) to third- and fourth-generation cephalosporins, quinolones, penicillins, aminoglycosides, carbapenems, and macrolides. Drugs of choices are colistin (99.13%), tigecycline (67.83%), cefoperazone/sulbactam (44.78%), minocycline (40.87%), ampicillin + sulbactam (36.09%), doxycycline hydrochloride (10.43%), and cotrimoxazole (9.57%). Conclusion Acinetobacter species is an emergent and global hospital-acquired pathogen. Drug resistance pattern of A. baumannii is quite alarming in our health care settings, so effective infection control practices and judicious use of antibiotics is mandatory. How to cite this article Sharma RK, Mamoria VP. A Prospective Study on Prevalence and Antibiotic Susceptibility Pattern of Acinetobacter baumannii in Clinical Samples obtained from Patients admitted in Various Wards and Intensive Care Units. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):122-127.

ORIGINAL ARTICLE

Shubhangi Singh, Aditya Soni, Manju Bhaskar, Prerak Kumar

Body Image in Students: Relationship with Eating, Media Influence, and Self-esteem

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:7] [Pages No:128 - 134]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0051  |  Restricted |  How to cite  | 

Abstract

Introduction This study was carried to examine the body image satisfaction and its relationship with self-esteem, body mass index (BMI), and influence of media on body image. Another objective was to observe any existing relationship between gender and body image dissatisfaction. Materials and methods Exploration of relationship of body image satisfaction with BMI, media influence, self-esteem, and other variables like socioeconomic demographic data, overall satisfaction in life (academic/professional), and current health status was carried out via a cross-sectional study using 5-item-based Likert scale in 303 participants. Results Males showed less concern about body image. Significant relationship of body mass was seen with BMI (p < 0.001), eating attitude (p < 0.001), influence of media (p < 0.001), and self-esteem (p < 0.001). Overweight students had a significantly higher prevalence of dissatisfaction (p < 0.001) than students with low weight who reported a higher body image satisfaction. Conclusion To conclude, this study proves that there exists a significant relationship between eating attitude, media influence, and self-esteem with body image. Adequate anticipatory measures are required for improvement in individuality, self-acknowledgment, and individual contrasts while keeping up ideal weight and dynamic lifestyle. How to cite this article Soni A, Gaur V, Bhaskar M, Kumar P, Singh S. Body Image in Students: Relationship with Eating, Media Influence, and Self-esteem. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):128-134.

ORIGINAL ARTICLE

Manisha Nijhawan, Kuldeep S Yadav, Amit Nijhawan, Rishika Agarwal, Madhu Njihawan, Preetkamal  

Validity of Screening Questionnaire for Detection of Psychiatric Manifestations in Chronic Dermatoses

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:3] [Pages No:135 - 137]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0052  |  Restricted |  How to cite  | 

Abstract

Skin being the largest organ of the body determines its appearance that may aid in sexual and social communication. Changes in a person\'s external appearance secondary to any dermatologic disease can deter self-esteem and social interaction. Psychosocial burden of skin disease can affect the overall disability experienced by the person. The present study attempted to find out the validity of a screening questionnaire [General Health Questionnaire 12 (GHQ-12)] to find the psychiatric morbidity in patients suffering from chronic dermatoses. The questionnaire was found to be a valid and reliable instrument to screen psychiatric morbidity in patients with chronic dermatoses attending outpatient setting. There were only 6 (30%) false-positive cases and reliability was found to be 91.4%. How to cite this article Yadav KS, Nijhawan A, Agarwal R, Njihawan M, Preetkamal, Nijhawan M. Validity of Screening Questionnaire for Detection of Psychiatric Manifestations in Chronic Dermatoses. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):135-137.

ORIGINAL ARTICLE

Shipra Shrivastava, Nalini Mishra

Impact of Reorientation and Training of Active Management of the Third Stage of Labor in a New Medical College of Chhattisgarh, India

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:5] [Pages No:138 - 142]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0053  |  Restricted |  How to cite  | 

Abstract

Introduction Active management of third stage of labor (AMTSL) is a best practice that reduces the incidence of postpartum hemorrhage (PPH). The present study was done with an objective to document the prevalent practice in regard to various components of AMTSL and the impact of reorientation session. Materials and methods A total 200 women fulfilling the inclusion criteria (low-risk singleton pregnancy at term) and anticipating vaginal delivery were enrolled in the study. In the first stage of the study, observation and documentation of ongoing practice of management of third stage of labor in 100 consecutive women (group I) was followed by reorientation session. In the second stage, again 100 women were observed and documented as above (group II). The changes and its impact in terms of blood loss and incidence of PPH were noted and compared with group I. Results None of the women of group I was given injection oxytocin in comparison to 77 women of group II. Controlled cord traction (CCT) was done in 44 women of group I as against 97 of group II women. No significant change in the timing of cord clamping was observed. The PPH occurred in only three women of group II in comparison to 11 of group I (p ≤ 0.05). Conclusion The level of adherence to AMTSL was low particularly for the use of oxytocin as first-line prophylactic uterotonic. The change in practice after a session of reorientation was positive and was associated with significant reduction in the incidence of PPH. The study reiterates the importance of frequent trainings. How to cite this article Shrivastava S, Mishra N. Impact of Reorientation and Training of Active Management of the Third Stage of Labor in a New Medical College of Chhattisgarh, India. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):138-142.

ORIGINAL ARTICLE

Bharathi Padiyar, Asmita Sharma, Pooja Mishra, Thejavinuo

Evaluation of the Knowledge and Belief of Expectant Mothers in Their Last Trimester about Importance of Primary Teeth and Their Care

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:5] [Pages No:143 - 147]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0054  |  Restricted |  How to cite  | 

Abstract

Objective “An ounce of prevention is worth a pound of cure” can be applied in pediatric dentistry to reduce the risk of early childhood caries (ECC). Prevention can bring revolutionary change in field of ECC, especially by creating awareness among expectant mothers who play a role of primary care­givers in infant\'s oral health. The aim of this study is to evaluate the knowledge and belief of expectant mothers in third trimester about importance of primary teeth and their care. Materials and methods A total of 500 expectant mothers were randomly selected and questionnaire was prepared regarding their approach toward infant oral health care and role of primary teeth in their child\'s life. Results The results of the study indicated that expectant mothers had minimal knowledge about primary teeth and also the role of teeth. In spite of this poor knowledge, the results also revealed that most expectant mothers were also eager to know information regarding children\'s teeth. Conclusion Implementing educational awareness about primary teeth and their importance can bring change in mindset of expectant mothers, thus decreasing risk for ECC. How to cite this article Mishra P, Marwah N, Sharma A, Thejavinuo, Padiyar B. Evaluation of the Knowledge and Belief of Expectant Mothers in Their Last Trimester about Importance of Primary Teeth and Their Care. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):143-147.

RESEARCH ARTICLE

Puneet Rijhwani, Abhishek Charan, Chand M Agarwal, Kanishk Sharma, Namrata Pareek

Prevalence of Vitamin D Deficiency in Diabetes Mellitus and Its Correlation with Glycated Hemoglobin

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:3] [Pages No:148 - 150]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0055  |  Restricted |  How to cite  | 

Abstract

Introduction The modern-day lifestyle and industrialization has led to the deficiency of sunshine vitamin, i.e., vitamin D, in all age groups. Vitamin D deficiency has its implications in almost each system and has widespread manifestation. This deficiency has far more severe outcomes when associated with diabetes. Aim To evaluate vitamin D level in type II diabetes patients. Materials and methods One hundred diabetic patients will be screened for serum 25-hydroxyvitamin D level by enzyme-linked immunosorbent assay technique and the results will be statistically analyzed. Results In our study, vitamin D was deficient in 42%, insufficient in 40%, and normal in 18% cases. Deficiency was seen more in female diabetics. This study has significant correlation with glycated hemoglobin (HbA1c) level and vitamin D level, i.e., as HbA1c increased, so is the vitamin D deficiency. Conclusion Vitamin D was deficient in more than 80% of diabetic patients. Therefore, all diabetic patients should be investigated for vitamin D level. How to cite this article Rijhwani P, Agarwal CM, Charan A, Sharma K, Pareek N. Prevalence of Vitamin D Deficiency in Diabetes Mellitus and Its Correlation with Glycated Hemoglobin. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):148-150.

RESEARCH ARTICLE

Manisha Agrawal, Priyamvada Gupta, Durga Jethava, DD Jethava

A Comparison of the Effect of Dexmedetomidine and Esmolol in Attenuating Stress Responses during Laparoscopic Surgeries

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:6] [Pages No:151 - 156]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0056  |  Restricted |  How to cite  | 

Abstract

Introduction The creation of pneumoperitoneum leads to increased mean arterial pressure and systemic vascular resistance as a result of stimulation of the sympathetic system leading to increased release of catecholamines and vasopressin. In order to prevent these hemodynamic changes, various pharmacological agents like clonidine, esmolol, or dexmedetomidine are used. Hence, there is need for this study. Materials and methods A total of 60 patients were randomized into two equal groups: group D—dexmedetomidine was administered as loading dose 1 µg/kg administered slowly over 15 minutes before induction followed by maintenance infusion of 0.5 µg/kg/hour throughout the period of pneumoperitoneum. Group E—esmolol was administered as loading dose at 1 mg/kg administered slowly over 5 minutes before induction followed by maintenance infusion of 0.5 mg/kg/hour throughout the period of pneumoperitoneum. Intra-abdominal pressure was maintained at 12 to 14 mm Hg throughout the procedure. The infusions were discontinued immediately after the release of pneumoperitoneum. Heart rate, systolic blood pressure, diastolic blood pressure, and mean arterial pressure were recorded at frequent intervals as per the pro forma. Data were analyzed using appropriate statistical tests. Results and conclusions As compared with esmolol, dexmedetomidine is more effective for attenuation of the pressor responses to pneumoperitoneum and thus achieving hemodynamic stability during laparoscopic surgeries (p < 0.05). How to cite this article Gupta P, Agrawal M, Jethava D, Jethava DD. A Comparison of the Effect of Dexmedetomidine and Esmolol in Attenuating Stress Responses during Laparoscopic Surgeries. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):151-156.

RESEARCH ARTICLE

Surbhi Chaturvedi, Rajendra K Sureka, Rishika,  , Apoorv Sharma, Manamita Mandal

Forgotten Psychiatric Comorbidity in Neurological Disorders

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:5] [Pages No:157 - 161]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0057  |  Restricted |  How to cite  | 

Abstract

Introduction Neurological disorders like headache, stroke, and seizures are associated with many psychiatric comorbidities like anxiety, depression, psychosis, eating disorders, personality disorders, etc. In order to look for the association of psychiatric comorbidities in epilepsy, headache, and stroke, this study was undertaken as very few studies have been reported from this part of the country so that we can help patients in improving their quality of life. Materials and methods This study was done in Mahatma Gandhi Medical College and Hospital, Jaipur, India, by the Department of Neurology and the Department of Psychiatry at the time of 1st visit. Fifty patients each of proved epilepsy, stroke, and headache were enrolled after consent and they were put to screening using the Global Mental Health Assessment Tool (GMHAT) questionnaire and at the same time, Department of Psychiatry assessed comorbidities—depression and anxiety—and made diagnosis using Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Depression Rating Scale (HAM-D) scale respectively. Results The GMHAT tool showed that 50% of the patients having headache, 80% of the patients who had stroke, and 72% of the patients suffering from epilepsy had psychiatric comorbidities. The HAM-A scale showed that 40% of the patients with headache, 16% of patients suffering from epilepsy, and 30% of patients with stroke had anxiety as psychiatric comorbidity. The HAM-D scale showed depression in 30% of the patients having headache, 36% of the patients with epilepsy, and 60% of the patients who had stroke. Conclusion Results of our study showed that depression and anxiety are the most frequently encountered psychiatric comorbidities in patients with epilepsy, headache, and stroke. In our study, it was seen that depression was more common as compared with anxiety in patients with epilepsy and stroke, and anxiety was more common as compared with depression in patients with headache. To confirm our findings further, larger multicenter studies are needed. Anxiety and depression should be evaluated by clinicians using these simple screening instruments that can rapidly detect symptoms of these comorbidities in their busy clinical settings. How to cite this article Chaturvedi S, Sureka RK, Rishika, Sharma A, Mandal M. Forgotten Psychiatric Comorbidity in Neurological Disorders. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):157-161.

CASE REPORT

Ruchika Tiwari, Vikas Singh, Raghav Mehta, Bindu Bhardwaj, Gaurang Thanvi, Prakhar Katta

Reconstruction of Maxillectomy Defect with Temporalis Myofascial Flap

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:6] [Pages No:162 - 167]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0058  |  Restricted |  How to cite  | 

Abstract

The reconstruction part holds the equal importance to that of treatment part, as the restoration of normal functional and esthetics plays a major role to improve the prognosis of the treatment. Temporalis muscle flap is a thin and versatile flap which can be used for reconstruction of partial defects of the maxilla instead of using free tissue transfer flaps. Raising the flap has simple surgical procedure, but the dissection should be done carefully to prevent injury to the frontotemporal branch of facial nerve on its outer surface and to the main feeding vessels present on the inner part of the temporal muscle. Our case was completed without any major complication. No injuries occur to the branches of facial nerve. No loss of flap was experienced. Postoperative functional and esthetic results were uneventful and satisfying. The first-line reconstructive option for limited resection of the upper maxilla with sparing of the orbital floor and of the anterior alveolar crest1 is temporalis muscle flap. How to cite this article Mehta R, Bhardwaj B, Singh V, Tiwari R, Thanvi G, Katta P. Reconstruction of Maxillectomy Defect with Temporalis Myofascial Flap. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):162-167.

CASE REPORT

Arpita Jain, Swati Garg, Vijay S Nahata, Shivani Shekhawat

Laparoscopic Management of the Isthmocele

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:3] [Pages No:168 - 170]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0059  |  Restricted |  How to cite  | 

Abstract

With the increasing prevalence of cesarean rates, an unusual form of ectopic pregnancy is now emerging in clinical practice, the cesarean scar pregnancy (CSP), also known as isthmocele. In this rare form of ectopic pregnancy, gestational sac is implanted either partially or fully, within the scar of the previous cesarean. Diagnosis of CSP and its further management require considerable expertise in dealing with the pathology, and a multidisciplinary approach is required to prevent prolonged complications associated with the surgical management. Major hemorrhage from the implantation site during resection, which may end up in hysterectomy, is the main concern. We report a case of CSP who was referred to emergency outpatient department of Mahatma Gandhi Hospital (MGH) with amenorrhea, pain abdomen, and spotting per vaginum, as they could not localize the exact location of the pregnancy. She was diagnosed as CSP, and managed successfully by laparoscopic resection and repair of cesarean scar. How to cite this article Jain A, Garg S, Nahata VS, Shekhawat S. Laparoscopic Management of the Isthmocele. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):168-170.

CASE REPORT

Manish Bansal, Kimi Mittal, Kamal Bajaj, Rashmi Puri

PowerScope: An Efficient Treatment Modality for Skeletal Class II Malocclusion

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:5] [Pages No:171 - 175]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0060  |  Restricted |  How to cite  | 

Abstract

Skeletal class II malocclusion is one of the major complicated conditions to manage in orthodontics. Skeletal class II malocclusions due to lower jaw retrusion are usually treated by functional appliances during the peak of puberty. Due to the noncompliance with conventional myofunctional appliances, the evolution of fixed functional appliances took place. The present case report reports the ability of PowerScope in the correction of skeletal class II malocclusion due to lower jaw retrusion. This case report shows a patient aged 14 years who reported to the Department of Orthodontics and Dentofacial Orthopedics with a chief complaint of forwardly placed upper front teeth. In this case, McLaughlin, Bennett, Trevisi (MBT) 0.022” prescription was used to treat functional jaw retrusion initially, and then PowerScope was used. Cephalograms were obtained before treatment, during the middle stage of treatment, and after treatment. The results of cephalometric analysis showed considerable improvement in maxillomandibular relationship, facial profile, and appearance of patient. In this case, the chief component for correction of class II malocclusion was considerable displacement of mandible in the forward direction. Excellent results for management of class II malocclusion are provided by PowerScope, as such cases can be treated by a nonextraction approach if we use PowerScope as the treatment modality. How to cite this article Mittal K, Bajaj K, Bansal M, Puri R. PowerScope: An Efficient Treatment Modality for Skeletal Class II Malocclusion. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):171-175.

CASE REPORT

Amit Bhamboo, Charu Thanvi

Tooth-colored Restoration in Molars: Three Case Reports

[Year:2017] [Month:] [Volume:2] [Number:3] [Pages:5] [Pages No:176 - 180]

GET ACCESS  |  DOI: 10.5005/jp-journals-10057-0061  |  Restricted |  How to cite  | 

Abstract

As technology progresses, the basic desires and expectations of humans are also increasing day by day. Esthetics is becoming the prime concern of patients even more than treatment. Here comes the role of esthetic restorations for anterior teeth as well as posterior teeth. An inlay or onlay is a more conservative and long-lasting way of restoring the tooth than metal filling, composite, and even a crown. Inlays are intracoronal restoration which may cap one or more, but not all of the cusps, and onlays are also a type of intracoronal restoration which cap all of the cusps of tooth. Most indirect restorations are made on a replica of the prepared tooth in a dental laboratory by a trained technician. Ceramic inlays and onlays have become popular not only because of patient demand for esthetic, durable restorative materials, but also because of recent improvements in materials, fabrication techniques, and bonding systems. The traditional fillings reduce the tooth strength by up to 50% whereas inlay or onlay made up of high-strength porcelain or ceramic can actually increase tooth strength up to 75% and lasting 10 to 30 years. Therefore, maximum amount of tooth structure is conserved with the help of inlay and onlay as compared with crown. And the strength provided by tooth itself is much higher than any restorative material, the best way to maintain and improve the strength of tooth is preservation of the tooth How to cite this article Mital P, Thanvi C, Raisingani D, Prasad AB, Bhamboo A, Srivastava H. Tooth-colored Restoration in Molars: Three Case Reports. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):176-180.

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