With the discovery of osseointegration and advancement in dental materials dental implants provide superior support, stability and retention for prosthetic replacement of missing teeth than any available prosthetic option. But with the use of implants, an associated biological complication of peri-implant disease is seen in 48% of cases. Hence, this review aims to summarize the risk factors associated with peri-implantits and highlights current prevention strategies available and those to be further researched to minimise the incidence and severity of peri-implant disease and enhance longevity of implants.
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Gullo´s Syndrome (Benign Pancreatic Hyperenzymemia): Report of the First Two Cases in Basque Country
Gullo´s syndrome is a benign pancreatic hyperenzymemia that appears in healthy individuals and that is maintained over time, with fluctuations and transient normalization of pancreatic enzyme values in the absence of any evidence of clinical or morphological pancreatic disease. Its correct diagnosis is important to assure the carriers of the defect that there is no pancreas disease and to avoid unnecessary examinations, treatments and hospitalizations.
Village Darak Chabahar is located between the desert and the sea.
Calcific deposits are commonly seen on imaging done for other reasons. However, it can also present with periarthritis and adhesive capsulitis leading to severe disabling pain. Many theories have been proposed to explain the etiology and it is considered idiopathic by some. The management is also debatable, Barbotage being the most popular. In the majority of the cases it disappears spontaneously, requiring intervention like Barbotage and surgery only in a few cases. We present a case of a 45 year old female patient who had these calcific deposits in an unusual location of her right shoulder. These disappeared partially on conservative treatment. Subsequently, she developed severe pain in her right shoulder with restriction of all her movements. The pain was severe enough to interfere with her sleep. As a result she underwent barbotage. During the procedure an attempt was made to aspirate the calcific deposit in its entirety. This was not possible due to clogging of needle several times. There was complete resolution of pain following the procedure. However, post- procedure Magnetic resonance imaging (MRI) revealed a significant residual calcification which completely resolved 02 months after therapy with no recurrence.