International journal of dental and medical specialty

2-6

Authors: Marin Cristian Eugeniu, Costea Radu, Popescu Vlad

Aim: The aim of this clinical study over 310 patients is to evaluate the success rate using Chlorhexidine (CHX) as a cleaning solution and lubricant during the endodontic treatment, compared with sodium hypochlorite (NaOCl). Materials and Methods: Group A consisted of 169 teeth, from which 78 were in a pulpitis stadium and 69 in a gangrenous stage. They were treated with CHX solution during endodontic dental procedures. The Group B consisted of 76 pulpits and 65 gangrenous teeth irrigated with NaOCl. Biostatistical analyzes using t-test with IBM SPSS 22.0 were applied to validate the results for P < 0.05. Results: The results show a success rate of 97% and a treatment success rate 3.5 times higher when using CHX in a much shorter time of treatment. 38.5% of cases were completed in the fi rst session of treatment, 42.5% in the second session and only 19% of cases being completed in the third treatment session. In Group A was obtained 100% success in pulpitis and 94.5% from gangrene was successfully cured, compared with 88% average success rate in Group B (6.5% failure rate in the pulp disease and 24% in gangrene). Conclusions: The advantages of using CHX instead of NaOCl in endodontic treatment proved by this study, in conjunction with results published since the early 80’s, show the supremacy of CHX solution in endodontic treatment.

14-17

Authors: Prasad Uma, Prasad Usha, Sushma J, Rema Nair Sarkar

Meckel–Gruber syndrome (MGS) is an rare lethal autosomal recessive genetic disorder, characterized by a unifi cation of renal cysts or cystic renal dysplasia, developmental anomalies of the central nervous system, hepatic dysgenesis and postaxial polydactyly. MGS (MS) is a rare and lethal syndrome characterized by a triad of occipital cephalocele, postaxial polydactyly and dysplastic cystic kidneys. It is a rare syndrome with the highest incidence in Gujarati Indians and Finnish population. We report a case of MGS in non-Gujarati Indian, which was diagnosed on fetal autopsy. The incidence of MGS ranges from 1 in 13,250 to 1 in 40,000 live birth.

24-29

Authors: Rajnish Nagarkar, Shirsendu Roy, Mohammad Akheel, Vijay Palve, Prakash Pandit, Nayana Kulkarni

Aim: The aim was to perform a retrospective audit of rare vascular neoplasm - Carotid body tumor (CBT) in our cancer center. Materials and Methods: An institutional retrospective audit was performed in Curie Manavata Cancer Centre, Nasik, India from 30th June 2013 to 30th June 2014. Total of 5 patients were diagnosed with CBT in a period of 6 months. Results: Out of 5 patients who were diagnosed with CBT, 2 (40%) were males and 3 (60%) were females with a ratio of 1:1.5. The types of CBT were familial in 2 patients (40%), sporadic in 2 patients (40%) and hyperplastic in 1 patient (20%). The clinical presentation of the 5 cases was, 3 patients (60%) had a painless, progressive swelling, 2 patients (40%) had pre-auricular pain, and 1 patient (20%) was identifi ed in routine follow-up. All patients underwent surgical excision of CBT with no need to pre-operative embolization. 40% of patients had cranial nerve injury and hematoma formation. 1 out of 5 patients received post-operative adjuvant radiotherapy due to large tumor size and lymphatic spread. No recurrence was found after a follow-up of 6 months. Conclusion: Surgical management of CBT remains a challenge for head and neck surgeon. Despite a reduction in stroke and mortality, there can be a signifi cant morbidity associated inadvertent adjacent cranial nerve injuries. However, our audit shows these tumors can be managed well with meticulous planning and execution of the surgery.