scholarly journals Success Rate of Microimplants in a University Orthodontic Clinic

ISRN Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
P. Sharma ◽  
A. Valiathan ◽  
A. Sivakumar

Introduction. The purpose of this study was to examine the success rate and find factors affecting the clinical success of microimplants used as orthodontic anchorage. Methods. Seventy-three consecutive patients (25 male, 48 female; mean age, 22.45 years) with a total of 139 screw implants of 2 types were examined. Success rate was determined according to 18 clinical variables. Results. The overall success rate was 87.8%. The clinical variables of microimplant factors (type), patient factors (sex, skeletal and dental relationships, overbite, jaw involved, side involved and site involved), and treatment factors (type of insertion, time of loading, purpose of microimplant insertion, mode of loading, type of anchorage used, direction of forces applied) did not show any statistical difference in success rates. Mandibular angle, vertical position of implant placement, oral hygiene status, and inflammation showed significant difference in success rates. Conclusions. Proper case selection and following the recommended protocol are extremely essential to minimise failures.

2014 ◽  
Vol 4 (2) ◽  
pp. 77-86
Author(s):  
Eric S Solomon ◽  
David G Kerns ◽  
William W Hallmon ◽  
Daniela A Zambon-Fagundes

ABSTRACT Purpose The use of temporary anchorage devices (TADs), such as mini-screws, palatal implants and mini-plates, has become a popular treatment option in orthodontics. The objectives of this study were: (1) to compare the success rates of self-drilling mini-screws placed with or without use of a pilot drill, (2) to evaluate the implant placement torque (IPT) of self-drilling miniscrews and (3) to measure the removal torque of self-drilling mini-screws. Materials and methods Six American foxhounds served as subjects in this study. Three OsteoMed self-drilling mini-screws (1.6 mm diameter and 8 mm length) were planned to be placed in each side of the mandible between the roots of the teeth canine/premolar 1 (PM1), PM2/PM3 and PM3/PM4. The sites were allocated randomly in: (1) control group—mini-screws placed with pilot drill and (2) test group—mini-screws placed without pilot drill (self-drilling). The implant placement torque (IPT) and the number of turns performed by the mini-screws during placement were measured. After a healing period of 6 weeks, the mini-screws were removed, and the removal torque was measured. Results A total of 33 mini-screws were placed in six animals. After 6 weeks, the success rate for the control and test groups were 46.7 and 80% respectively (difference not statistically significant). There was no statistically significant difference in the terminal mean IPT values and the mean number of turns for failed and successful mini-screws. The difference between the mean IPT values at the 3rd turn during mini-screw placement in the successful and failed mini-screws (5.56 and 14.03 Ncm respectively) was statistically significant (p < 0.01). Conclusion There was no statistically significant difference in the success rate between self-drilling mini-screws that did or did not have osteotomies (46 vs 80% respectively). However, the IPT at the third revolution for successful mini-screws averaged 5.56 Ncm (p < 0.01). How to cite this article Zambon-Fagundes DA, Kerns DG, Hallmon WW, Solomon ES. Torque Analysis of Self-Drilling Mini-screws placed with and without a Pilot Drill: A Canine Study. J Contemp Dent 2014;4(2):77-86.


2016 ◽  
Vol 59 (1) ◽  
pp. 10-13
Author(s):  
Elif Ersoy Callioglu ◽  
A. Sami Bercin ◽  
Hayati Kale ◽  
Togay Muderris ◽  
Sule Demirci ◽  
...  

Objective: The aim of the present study was to investigate the effect of allergic rhinitis on the success of the operation in chronic otitis surgery by using score for allergic rhinitis (SFAR). Materials and Methods: In the present study; 121 patients, who underwent type 1 tympanoplasty were examined retrospectively. SFAR of all patients were recorded. The graft success rates of 26 patients with allergic rhinitis (AR) and 95 patients with no allergic rhinitis group (NAR) were compared. Results: While the graft success rate in NAR group was 89.5%, this rate was 80.8% in the AR group. However, the difference between groups was not statistically significant (p = 0.311). Conclusion: These findings suggest that allergic rhinitis decreases the graft success rate of the pathologies occurring in eustachian tube, middle ear and mastoid although statistically significant difference wasn’t found. Prospective studies with larger patient groups are required in order to evaluate this pathology.


2016 ◽  
Vol 43 (4) ◽  
pp. 313 ◽  
Author(s):  
Hugh W. McGregor ◽  
Jordan O. Hampton ◽  
Danielle Lisle ◽  
Sarah Legge

Context Predation by feral cats is a key threatening process to many species of native Australian wildlife. Unfortunately, cats are difficult to capture using standard trapping techniques, limiting the potential to conduct research on their ecology and impacts. Aims We present an alternative capture method: remote chemical immobilisation after tracking with trained dogs. We also compare capture rates to a concurrent soft-jaw leg-hold trapping program. Methods We used dogs to capture cats detected by spotlighting at night, and also recaptured cats fitted with telemetry collars during the day. Cats were either bailed on the ground or treed and then hand-netted, or chemically immobilised using darts shot from a CO2-powered dart rifle, loaded with tiletamine–zolazepam at ~6 mg kg–1. Factors affecting the success rate of capturing cats using dogs were assessed. Efficiency in terms of cats captured per person-hours of fieldwork were compared using trained dogs versus leg-hold trapping. Key results We attempted 160 cat captures using the tracking dogs with 114 of those being successful. There were no mortalities or debilitating physical injuries associated with chemical immobilisation; however, sedated cats had prolonged recoveries (>4 h). Capture success with the tracking dogs increased as the dogs gained experience. Capture success rates per person-hour of fieldwork were four times greater using spotlighting with tracking dogs than using leg-hold traps. The success rate of recaptures using dogs was 97%. Conclusions The use of trained tracking dogs proved an effective method for capturing feral cats. The method had a much higher success rate than live-trapping with leg-hold traps, took less effort (in terms of person-hours) and caused less physical injuries than did leg-hold traps. However, substantial setup costs and time are required, which are discussed. Implications Using these methods could improve efficiency and outcomes when catching feral cats, and enable more data per individual cat to be collected than otherwise.


Author(s):  
Young Ho Kim ◽  
Seung-Min Yang ◽  
Seonwoo Kim ◽  
Joo Yong Lee ◽  
Kyu Eok Kim ◽  
...  

Author(s):  
Abdussalam M. Jahan ◽  
Yousef M. Eldanfur ◽  
Abdulhakim B. Ghuzi

<p class="abstract"><strong>Background:</strong> Dacryocystorhinostomy (DCR) is a surgical procedure performed to relief nasolacrimal duct obstruction, which involves the creation of ostium at the lacrimal bone to form a shunt in the nasolacrimal pathway. Closure of the rhinostomy opening was considered a major factor for surgical failure. Use of silicone stent in endoscopic DCR to improve the success rate of the operation have been tried by many surgeons. In this study we assess the success rates of endoscopic DCR with and without silicone stents.</p><p class="abstract"><strong>Methods:</strong> Prospective study includes 30 patients were operated in the Department of ENT, Misrata Medical Center, from April 2017 to March 2018. They underwent endonasal endoscopic DCR for primary acquired nasolacrimal duct obstruction.<strong> </strong>These patients were randomly divided in two groups: A and B with 15 patients in each group. The group A patients underwent endoscopic DCR with silicone stent and group B patients underwent endoscopic DCR without stent. The results were statistically analyzed by chi-square test.  </p><p class="abstract"><strong>Results:</strong> 30 patients were included in this study, their age ranged from 17 to 60 years, complaining of epiphora, 24 (80%) were females and 6 (20%) were males. The success rate was higher in patients with silicone stent (93.33%) as compared to patients without silicone stent (86.67%) but this difference in the results is not statistically significant (As p value is 0.542 which is &gt;0.05).</p><p><strong>Conclusions:</strong> Endoscopic DCR is safe, successful procedure for treatment of nasolacrimal duct obstruction and there was no significant difference in the success rates of performing endonasal DCR with silicone or without silicone stents.</p>


2017 ◽  
Vol 90 (1) ◽  
pp. 66-70
Author(s):  
Burak Mehmet Çildağ ◽  
Kutsi Ömer Faruk Köseoğlu

Background. Endovascular strategies have been used to manage patients with thrombosed vascular access for hemodialysis. We analyzed primary success rate and patency rates of balloon angioplasty following mechanical thrombectomy for the treatment of thrombosed native arteriovenous fistulas.Methods. This was a retrospective study of 24 patients with thrombosed native arteriovenous fistulas who were referred for treatment in the intervention unit of the Radiology Department. All patients had been performed percutaneous thrombo-aspiration and balloon angioplasty. Technical and clinical success rates as well as the 6th and 12th months primary and secondary patency of fistulas were evaluated .Results. Technical and clinical success was 83%. In the 6 of 20 patients, early re-thrombosis were detected. Patent AVF with primary and secondary patency rates at 6 and 12 months was 55%-40%. The secondary patency rates at 6 and 12 months were 75% and 70%.Conclusion. Mechanical thrombectomy with balloon angioplasty is a minimally invasive and effective procedure for the treatment of thrombosed native arteriovenous fistula. Advantages of this technique are minor complication rates, cost effectiveness, high techni­cal success rate.   


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Zahra Bahrololoomi ◽  
Fatemeh Zarebidoki ◽  
Atefeh Shakib

Objective: The aim of this study was to compare the clinical and radiographic success rates of pulpotomy in primary molars using formocresol versus sodium hypochlorite.Methods:  Twenty-three children aged 4-9 years with at least two primary molars requiring pulpotomy were randomly allocated into two groups. All teeth received stainless steel crown after conventional pulpotomy procedure with either NaOCl or formocresol. Clinical and radiographic signs/symptoms were recorded at six and 12 months. Outcomes were statistically analyzed using Fisher’s exact test and Chi-squaretest.Results: Clinical success rates at 6 and 12-month follow-up in both groups was 100%. At 6-month follow-up, radiographic success rate for NaOCl and formocresol groups was 100%. At 12-month recalls, in NaOCl group, 20 teeth (87%) and in formocresol group, 21 teeth (91.3%) had radiographic success. No significant difference was found in the radiographic success rates at 12 months (P=1.00). Internal root resorption was the most common radiographic pathologic finding in both groups.Conclusion:Clinical and radiographic success rates in NaOCl group was comparable with formocresol group, so NaOCL can be suggested as an alternative for primary teeth pulpotomies. However further clinical studies with long-term follow-ups are needed. 


Endoscopy ◽  
2020 ◽  
Author(s):  
Chetan Mittal ◽  
David L. Diehl ◽  
Peter V. Draganov ◽  
Laith H. Jamil ◽  
Ammara Khalid ◽  
...  

Abstract Background Flexible endoscopic myotomy has been increasingly performed for Zenker’s diverticulum using various endoscopic techniques and devices. The main aims of this study were to assess practice patterns and compare outcomes of endoscopic myotomy for Zenker’s diverticulum. Methods Procedures performed at 12 tertiary endoscopy centers from 1/2012 to 12/2018 were reviewed. Patients (≥ 18 years) with Zenker’s diverticulum who had dysphagia and/or regurgitation and underwent endoscopic myotomy were included. Outcomes assessed included technical success, clinical success, and adverse events. Results 161 patients were included. Traditional endoscopic septotomy was performed most frequently (137/161, 85.1 %) followed by submucosal dissection of the septum and myotomy (24/161, 14.9 %). The hook knife (43/161, 26.7 %) and needle-knife (33/161, 20.5 %) were used most frequently. Overall, technical and clinical success rates were 98.1 % (158/161) and 78.1 % (96/123), respectively. Adverse events were noted in 13 patients (8.1 %). There was no significant difference in technical and clinical success between traditional septotomy and submucosal dissection groups (97.1 % vs. 95.8 %, P = 0.56 and 75.2 % vs. 90.9 %, P  = 0.16, respectively). Clinical success was higher with the hook knife (96.7 %) compared with the needle-knife (76.6 %) and insulated tip knife (47.1 %). Outcomes were similar between centers performing > 20, 11 – 20, and ≤ 10 procedures. Conclusions Flexible endoscopic myotomy is an effective therapy for Zenker’s diverticulum, with a low rate of adverse events. There was no significant difference in outcomes between traditional septotomy and a submucosal dissection approach, or with centers with higher volume, though clinical success was higher with the hook knife.


Author(s):  
Özge Can ◽  
Sercan Yalcinli ◽  
Yusuf Ali Altunci

Introduction: Pre-hospital intubation is a challenging but essential intervention. During intubation, it is difficult to identify vocal cords when using a cervical collar and trauma board. Therefore, the success rate of intubation by paramedics decreases in trauma patients. Video laryngoscopy increases intubation success rate and has been recommended for difficult airways in studies. Objective: In this study, we compared the intubation success rates when using a video laryngoscope and a direct laryngoscope in a manikin with simulated cervical immobilization.  Methods: In this cross-sectional study, the manikin’s neck collar and spine board created a complicated airway model with cervical immobilization. Inexperienced paramedic students tried intubation with both methods, and their trial periods were recorded. Students answered a question evaluating the convenience of the procedure for both methods after the trial. Results: In this study, 83 volunteers, who were first-year and second-year paramedics, participated; 32 (38.6%) of the volunteers were first-year students, while 51 (61.4%) were second-year students. All volunteers had previous intubation experience with direct laryngoscopy, but not with video laryngoscopy. There was a statistically significant difference in the first-attempt success rates of the procedure between the groups in favor of video laryngoscope (p=0.022). Note that there was no significant difference between the groups in terms of first attempt durations (p=0.337). Conclusion: Video laryngoscopy in airway management can increase the success rate of first-attempt intubation by inexperienced pre-hospital healthcare personnel.


2016 ◽  
Vol 31 (4) ◽  
pp. 835-841 ◽  
Author(s):  
Zheng Jing ◽  
Yeke Wu ◽  
Wenlu Jiang ◽  
Lixing Zhao ◽  
Dian Jing ◽  
...  

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