An individualised psychosocial intervention program for persons with MND/ALS and their families in low resource settings.

OBJECTIVE: To develop individualised psychosocial intervention program for people with MND and their families in India. METHODS: People with MND and healthcare staff were constructively involved in co-designing the intervention program in four phases adapted from the MRC framework: 1. A detailed need assessment phase where 30 participants shared their perceptions of psychosocial needs 2. Developing the intervention module (synthesis of narrative review, identified needs); 3. Feasibility testing of the intervention program among seven participants; 4. Feedback from participants on the feasibility (acceptance, practicality adaptation). The study adopted an exploratory research design. RESULTS: Intervention program of nine sessions, addressing psychosocial challenges through the different stages of progression of the illness and ways to handle the challenges, specific to the low resource settings, was developed and was found to be feasible. People with MND and families who participated in the feasibility study shared the perceived benefit through feedback interviews. CONCLUSION: MND has changing needs and challenges. Intervention programme was found to be feasible to be implemented among larger group to establish efficacy.

Creating Esthetic Harmony with Nonloading, Fixed Provisional Restoration using Extracted Teeth after Immediate Implant Placement.

AIM: To make use of fiber-reinforced composite and the patient's own extracted teeth in fabricating a provisional restoration following immediate implant placement. BACKGROUND: Fiber-reinforced composites offer various possibilities in temporization of osseointegrating implants in the esthetic zone. TECHNIQUE: In this chairside technique, the patient's own extracted teeth with fiber-reinforced composite were used to fabricate a provisional restoration after immediate implant placement. CONCLUSION: A putty index was made before extracting the teeth and placing the implants as planned. The index and crowns of the extracted teeth were used to make a nonloading, esthetic, chair-side provisional restoration after immediate implant placement. CLINICAL SIGNIFICANCE: By using the patient's own teeth for pro-visionalization immediately after implant placement, acceptance is greatly enhanced.