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Uday Shankar Y.,MNR Dental College and HospitalTelangana | Kumar A.,MNR Dental College and HospitalTelangana | Rajasekhar E.,MNR Dental College and HospitalTelangana | Bhanu Prakash S.,MNR Dental College and HospitalTelangana
Journal of Clinical and Diagnostic Research

Trigeminal Neuralgia (TN) is considered as one of the most painful neurologic disorders affecting oro-facial region. TN is often diagnosed clinically based on the patients complete history of pain (severity, duration, episodes etc), relief of pain on test dose of Carbamazepine, regional block of long acting anaesthetic. However, Magnetic Resonance Imaging (MRI) plays an important and confirmatory role in showing Neuro Vascular Conflict (NVC) which is the commonest causative factor for TN. This article reviews the effectiveness of three-dimensional constructive interference in steady-state (3D-CISS) MRI in diagnosing the exact location, degree of neurovascular conflict responsible for classical as well as atypical TN and possible pre-treatment evaluation and treatment outcome. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved. Source

Ashwini Kumar M.,MNR Dental College and HospitalTelangana | Radhika B.,MNR Dental College and HospitalTelangana | Gollamudi N.,MNR Dental College and HospitalTelangana | Reddy S.P.,MNR Dental College and HospitalTelangana | Yaga U.S.,MNR Dental College and HospitalTelangana
Journal of Clinical and Diagnostic Research

Oral submucous fibrosis (OSMF) is a chronic, debilitating disease characterized by juxta epithelial fibrosis of the oral cavity and regarded as a potentially malignant disorder. Numerous treatment modalities ranging from various drugs to behavioral therapy have been tried with inconsistent results with varying degrees of success reflecting low predictability, requiring further evaluation and standardization. Novel treatment modality such as Hyperbaric oxygen therapy (HBOT) involves inhalation of 100% oxygen at increased atmospheric pressure usually ranging between 2.0 and 2.5 atmospheres for periods between 60 and 120 min. HBOT which can increase oxygen tension and delivery to oxygen-deficient tissue, is a supplementary therapy to improve hypoxic environment of OSMF and also possesses potent anti-inflammatory properties. This article enlightens on possible beneficial effects of HBOT in the management of OSMF at cellular and molecular level. © 2105, Journal of Clinical and Diagnostic Research. All rights reserved. Source

Kanumuru P.K.,MNR Dental College and HospitalTelangana | Sooraparaju S.G.,MNR Dental College and HospitalTelangana | Konda K.R.,MNR Dental College and HospitalTelangana | Nujella S.K.,MNR Dental College and HospitalTelangana | And 2 more authors.
Journal of Clinical and Diagnostic Research

Introduction: The effectiveness of irrigation depends upon various irrigation activation methods & devices used. Aim: To compare and evaluate the penetration of irrigant upto working length and into simulated lateral canals using four different irrigation activation techniques. Materials and Methods: The root canals of 60 single-rooted teeth were instrumented using the proTaper rotary system. After decalcification of each sample tooth, three simulated lateral canals were created at 2mm, 4mm and 6mm levels from the root apex using a 06-size C+ file. After clearing the samples they were randomly assigned into four experimental groups (n=15) and 1ml of Irrigating Contrast Solution (ICS) was delivered into all samples and then it is activated with 4 different methods Group I-Conventional syringe and needle, Group II -Sonic activation with Endo activator, Group III -Ultrasonic activation with ultrasonic tips and Group IV -Activation using reciprocation movement. All the samples were examined under a stereomicroscope and irrigant penetration was evaluated by means of penetration of ICS. Results: Group III and Group IV resulted in better penetration of ICS into lateral canals at 2mm and 4mm depth (p<0.001), when compared with Group I and II. At lateral canals 6mm all the groups except Group I, had shown 100% penetration. Conclusion: The activation of irrigant using reciprocation was able to achieve penetration of irrigating contrast solution both up to the working length and into lateral canals. Hence the clinical significance of this method of irrigant activation is that it can be used for effective penetration of irrigants both upto working length and into lateral canals. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved. Source

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