Academia Journal of Medicine

Management of a Maxillary Radicular Cyst in a Patient with Gilbert Syndrome: A Rare Case Report

2024-07-14T04:40:46+00:00

Gilbert syndrome is a rare benign autosomal genetic disorder characterized by reduced activity of glucuronyl transferase, leading to decreased clearance of bilirubin and occasional mild jaundice in the absence of hepatic injury or hemolysis. Diagnosis involves clinical and laboratory investigations as part of differential diagnosis, with genetic analysis providing additional confirmation. Oral manifestations of Gilbert syndrome exist but often go unnoticed. Drugs metabolized by this enzyme need to be considered along with stress management in patients undergoing surgical procedures. This case report of a 24-year-old male diagnosed with a radicular cyst in the maxillary anterior teeth region, who incidentally exhibited Gilbert syndrome, also highlights perioperative management considerations for such patients.

Effect of Audio and Audiovisual Distraction Technique on Anxiety of Pediatric Patients During Pit and Fissure Sealant Application: A Clinical Trial

2024-07-24T18:09:22+00:00

This clinical trial evaluates the impact of audio and audiovisual distraction techniques on reducing anxiety in pediatric patients undergoing pit and fissure sealant application. A total of 60 children aged 6-12 requiring sealant application were randomly assigned into three groups: Control (no distraction), Audio distraction (listening to music), and Audiovisual distraction (watching cartoons). Anxiety levels were measured using the Venhem Anxiety Rating Scale (VARS) before and after the procedure. The study found a significant reduction in anxiety levels in the audio and audiovisual distraction groups compared to the control group. Specifically, the audiovisual group showed the greatest reduction in VARS scores, followed by the audio group.

Assessment of Clinical Efficiency of Manual K-files, Kedo-S Plus and Fanta AFTM Pediatric Rotary Files During Pulp Therapy of Primary Teeth: A Clinical Trial

2024-07-26T05:29:48+00:00

The objective is to evaluate the instrumentation time required for primary molar root canal preparation using two pediatric rotary file systems (Kedo-S Plus & Fanta AF^TM Baby) in comparison to manual K-files. 60 lower primary molars of healthy youngsters, ages 4-8 years were participated. Three groups (n=20) received a random assignment of molars. Kedo-S Plus and Fanta AF^TMBaby rotary systems were used to prepare groups I and II, while a manual K-file was used to organise group III, stopwatch was used to estimate the instrumentation time. The result shows that the first group had the lowest instrumentation time (78.8 seconds), followed by group II and the manual-K file group (p<0.05). Thus, the tested rotary file systems required less instrumentation time.