Investigating colostomy-related morbidity in children following stoma formation and closure in a tertiary hospital, Abha, Saudi Arabia: a retrospective cohort study 2024.

BACKGROUND: Overall, stoma-related morbidity affects a reported 20-38% of pediatric patients. However, determining the true incidence of major stoma-related morbidity is challenging due to limited cohort sizes in existing studies. Thus, the aim of this study was to investigate colostomy related morbidity among children both after stoma formation and stoma closure. METHODOLOGY: This is a retrospective cohort hospital-based study, conducted in an Abha maternity and children hospital, between August 1, 2018, and August 1, 2023, among 126 pediatric patients (aged 0-12 years) who underwent colostomy formation and subsequent closure during the study period. Data were collected from medical records. Data was analyzed using Statistical Package for Social Sciences (SPSS) v.26. RESULTS: This study included a total of 126 children who underwent colostomy. (N = 37, 29.4%) of cases included in this study were emergency cases, while (N = 89, 70.6%) were elective. A variety of antibiotics were used for surgical prophylaxis, metronidazole (77%) and cefuroxime (62.7%) were the most prevalent. Oral feeding was started after 5-6 days in more than one third of cases (39.7%). Wound infection (N = 15, 11.9%) was the most reported post-operative complication, followed with bowel obstruction (N = 6, 4.8%). Emergency cases had a longer duration of hospital stay than elective cases; this difference was statistically significant (P = .04). CONCLUSIONS: Majority of patients reported no stoma related complications, while among those who reported complications, wound infection was the most reported complication, followed by bowel obstruction.

Accuracy of Original vs. Non-Original Abutments Using Various Connection Geometries for Single Unit Restorations: A Systematic Review.

PURPOSE: To ascertain whether the compatibility of non-original abutments (NOAs) with dental implants is influenced by the type of implant connection, i.e.- internal or external, and whether certain combinations of componentry may be as compatible as the original components. METHODS: A structured literature search was conducted using 3 electronic databases (MEDLINE® , The Cochrane Library, and Web of Science Core Collection) for studies reporting on the use of non-original abutments published between 1995 and 2020. This was supplemented with hand searching in relevant journals and references, as well as searching grey literature. Relevant studies were selected according to specific inclusion criteria. Data was collected for the following parameters: precision of fit, microleakage, micromorphological differences, micromotion, rotational misfit, screw loosening, maximum load capacity, fracture resistance, tensile strength, compressive strength and invivo implant and prosthesis outcomes. RESULTS: The electronic search and hand search yielded titles and abstracts of 5617 studies following de-duplication; based on the eligibility criteria, 40 studies were finally selected. Overall, original abutments showed better precision of fit, ability to resist microleakage, prevention of rotational misfit and micromotion, and fatigue strength compared with non-original abutments. Some non-original abutments on external connections were comparable with original abutments in terms of precision of fit and resistance to screw loosening and may be associated with less catastrophic failures than those on internal connections. CONCLUSION: Original abutments present more predictable outcomes than non-original abutments with regards to the parameters investigated. However, it seems that external connections can provide some level of compatibility in terms of precision of fit and may also exhibit less catastrophic failures than NOAs on internal connections. This may be due to the increased rotational freedom external connections provide. There is a lack of information regarding the influence of connection geometry on many aspects of compatibility and therefore the current clinical recommendation should be to use original abutments. More laboratory studies comparing non-original abutments on different implant connections are required. In addition, there is a need for long-term in vivo studies providing data on the clinical performance of non-original abutments.

A narrative review of minimally invasive techniques in restorative dentistry.

This narrative review aimed to provide a comprehensive overview of minimal invasive dentistry (MID) by synthesizing relevant articles obtained from various sources, including electronic databases such as PubMed, SCOPUS, EMBASE, the COCHRANE library, and Science Direct, as well as through manual searches of cross-references and textbooks. The search employed MeSH terms and keywords related to MID, such as "minimally invasive dentistry," "atraumatic restorative treatment (ART)," "MID," and "minimum intervention dentistry." The inclusion criterion was English-language articles published between the years 2000 and June 2023 that aligned with the study objectives. After a thorough assessment of the included articles, 34 high-quality articles were selected for this review. The selected articles elucidate the characteristics of MID, the application of the ART, and the principles of minimum intervention in dentistry. Animal-based studies and narrative reviews on MID were excluded from the analysis. This narrative review serves as a valuable resource for dental professionals, researchers, and educators interested in staying abreast of the latest developments and evidence in the field of MID.

Esthetic Rehabilitation of Congenitally Peg-Shaped Lateral Incisors Using the Injectable Composite Resin Technique: A Clinical Report.

This report details the esthetic dental rehabilitation of a patient with peg-shaped and malformed lateral incisors, conditions that stem from congenital anomalies in tooth formation, using the injectable composite resin technique (ICRT). The ICRT clinical workflow initiates with a smile analysis and precise shade matching, followed by the construction of a diagnostic wax-up crafted according to esthetic and functional guidelines. Subsequently, a mock-up is developed to ensure that the planned restorations fulfill the patient's functional requirements and esthetic expectations. A transparent silicone index is employed to accurately transfer the patient-approved wax-up into the mouth, utilizing injectable flowable composite resin. This method enhances treatment predictability and ensures that the final direct restoration precisely reflects the approved design within a reasonable chairside timeframe.

Supraorbital Rim Fracture Involving Frontal Sinus by Sports Injury.

Supraorbital rim fracture is a rare sports-related injury encountered by craniofacial specialty and great challenge to the surgeons because of their anatomical location and relation with vital structures in close relation. Currently, in the literature, no classification system or treatment protocol exists for the supraorbital rim fracture. Supraorbital rim fracture forms a small proportion of sports-related injuries. Here we present a case with supraorbital rim fracture by sports injury diagnosed by computed tomography and treated surgically by open reduction methods using mini plates.