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3rd Molar Extraction Procedure, Technique, Complications, Recovery

3rd Molar is a teeth present on both sides of mouth. It is one of the three molars, present on the most posterior side of three molars. 3rd molar is also known as wisdom tooth. Wisdom teeth grows at the age of 17 till 25. One wisdom tooth is present per quadrant of the human dentition. Most of the people have all four wisdom teeth. In rare cases, people do not have even a single wisdom tooth. During development of wisdom teeth, it can effect other teeth as well becoming impacted. So it is extracted before it occurs.

3rd Molar Extraction Procedure

Wisdom tooth extraction procedure is performed as an outpatient. Patient does not have any need to stay in hospital and can return home the same day. Before starting procedure, patient is asked for his comfort level in case of anesthesia used. Three types of anesthesia are offered I.e. general anesthesia, local anesthesia and sedation anesthesia. During surgery, dentist make a small incision on the gum to expose the bone and teeth. 1st step is the removal of bone which blocks the tooth. If dentist find it easy to extract it in pieces, then it is divided into halves for extraction. Tooth is removed and then the debris is removed. Stitches the wound and a guaze is applied.

3rd Molar Extraction Procedure, Technique, Complications, Recovery

3rd Molar Extraction Technique

The surgical technique of 3rd molar extraction is divided in to several phases. These phases are,

  • Anesthesia.
  • Access flap.
  • Bone resection.
  • Odontotomy.
  • Suture.

All the above mentioned phases are designed to avoid some complications like ,

  • Anesthesia helps to avoid damage of facial nerve and parotid gland. 
  • Access flap and bone resection and odontotomy helps to avoid damage of periodontium of 2nd molar and lingual nerve. 
  • Suture helps to avoid infections in the periodontal 2nd molars after surgery. 

3rd Molar Extraction Complications

3rd molar extraction shows complications but these complications are for not longer term but are for short time period. Some of the main complications associated with 3rd molar or wisdom tooth extraction are, Nearby teeth, jaw bone, nerves or sinuses may get damage due to incision.
After surgery, infection may occur in wound due to the bacteria or the food particles trapped in teeth. Dry socket may be painful and bone may be exposed in case if the blood clot is lost from the site of surgical wound which is also called socket.

3rd Molar Extraction Recovery

3rd molar or wisdom tooth extraction is the procedure with less complications. And the complications which occur, persist for very short time. So the recovery is fast. The gum tissues usually take 3 to 4 weeks for full recovery. And the inner wound which occurs due to bone extraction, will take about 6 weeks to recover fully. Recovery time varies from person to person and depends upon care plan. If any kind of infection occur in the surgical wound i.e socket, then the recovery time extends. In case of infection, antibiotics are prescribed to make it heal soon.
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How to use CBD Oil For Tinnitus

To understand the use of CBD oil in tinnitus, we should be well aware of the disease i.e. tinnitus. Tinnitus is a medical condition in which person experience hearing problems. The functions of ear are impaired. The problem is in the nerves and vessels responsible for auditory service. This is not a life threatening condition and can be treated with CBD oil. CBD oil is abbreviated as cannabidiol. Cannabidiol or CBD oil is listed as an oil having endless potential benefits. CBD oil is one of the cannabinoid in 113. It is found in marijuana plant. It itself is not a psycho active compound, in other words it will not activate mind after consumption. CBD also have many medicinal properties. In tinnitus, patient feel raging in the affected ear. A single dose of CBD oil can bring a change in this raging.

As a patient said, she took three drops of CBD oil via sublingual route and the effect was not immediate. After some time, CBD oil started working and she started feeling relaxed. The next morning, raging sound was not there and ear was almost silent. Cannabis contains marijuana in it which helps a lot in treating tinnitus. It is also used for other diseases like epilepsy. Basically tinnitus is also called epilepsy of the ear that's why cannabis is recommended for its treatment. Cannabinoids are the drugs which have anti epileptic effects. But it shows its action in some cases and in rare parts of brain. A single CBD product containing oil have 0.3 percent of THC in it. CBD is legal in United States.

How to use CBD Oil For Tinnitus

CBD oil is available in various dosage forms i.e. from CBD powders to vape ready concentrate. It is also available in the form of plant tincture oil. There are various ways by which CBD can be administered. It is either taken orally, or Vaped or smoked. When it is smoked, CBD is absorbed in the lining of lungs. Another route of administration is sublingual route. By sublingual route, the CBD is absorbed directly in to the capillaries and show it's affect. As CBD oil is used for the treatment of tinnitus but it does not have direct affect on the disease. It has indirect affect by reducing stress and anxiety.

When the stress level is down, patient feels relaxed and feels quiter tinnitus. CBD oil contains marijuana which is a muscle relaxant. So when patient administer CBD, he feels relaxed both mentally and physically. This is how tinnitus is treated. When we talk about it's Dosage, the effects of CBD are different at different doses. Like it has calming effect with muscle relaxation at lower doses. But at higher doses, patient feels slight pressure on head. It causes sedation. CBD also induces sleep in patient at higher doses. CBD oil does not show immediate effects in patient. Its action also depends upon the patient and dose. It has commutative effect and requires daily consumption of CBD.
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Spatulate Fingers Definition, Symptoms, Causes, Palmistry, Treatment

Spatulate fingers as the name indicate is a condition in which the fingers are of spatula shaped. Spatula shaped means the fingers and toes are square shaped from the tips. The thumbs are short in size and toes are also shortened. The finger next to the toe is unusually longer than toe. The shape of fingers can be defined as wide from the tips and become elongated moving down to the fingers. These type of fingers predict many things about the personality of person. Spatulate fingers are considered of great importance in palmistry. Palmistry is the study of hands.

Spatulate Fingers Symptoms

Spatulate fingers itself are the symptoms of disease named otopalatodigital syndrome. In this syndrome the fingers are of spatula shaped i.e. wide from the tips and moving down to the base, fingers become elongated. The toes and thumb of hands are shorter in size than usual. Due to shorter thumbs and toes, the fingers right next to them look abnormally large. The fingers have square shape from the tips. As it is the main symptom of otopalatodigital syndrome, so some other symptoms also occur along with it which are deformity of chest and hearing loss.

Spatulate Fingers Definition, Symptoms, Causes, Palmistry, Treatment

Spatulate Fingers Causes

There are many reasons behind the deformity of fingers i.e. spatulate fingers. But the most common cause reported behind the spatulate fingers is otopalatodigital syndrome. In this syndrome, the fingers become spatula shaped i.e. wide from the tips and elongated while moving downward to the base. Other than otopalatodigital syndrome, following are the minor causes behind spatulate fingers. Frontometaphyseal dysplasia, cenani syndactylism, ehlers danlos syndrome type progeroid, acroosteolysis dominant type, Costello syndrome, osteopathia striata, stevenson Carey syndrome, spondyloepimetaphyseal dysplasia type irapa, acroosteolysis keloid like lesions premature aging syndrome, spondylo occular syndrome and many other causes like that.

Spatulate Fingers Treatment

Spatulate fingers are the main symptoms of otopalatodigital syndrome. The treatment of otopalatodigital syndrome will not treat spatulate fingers because it is the deformity of the bones. Surgical procedure is the only treatment for spatulate fingers. With the help of surgery, the deformity can be removed and fingers are aligned. After surgery, the pain killers are prescribed to relief pain. After surgery, regular exercise of fingers is recommended for faster recovery. Patient is advised to take rest for some weeks and then try to grip something with fingers for the regulation of movement of fingers and thumb.

Spatulate Fingers In Palmistry

The shape of fingers tell a lot of things about the personality of a person. The spatula shaped fingers tell a lot of things like the flattened or spatula shaped wide end tips tell that the person have higher mind and it also reflects higher feelings. People with this type of fingers have good imagination power. These people take interest in finding something that can keep them up and occupied. They have boundless energy and their personality is not boring at all. Mostly these people crave for finding new knowledge and be up to date with time.
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Glutathione Nebulizer Treament Benefits, Solution, Side Effects

Glutathione nebulizer is a specially designed device used to inhale glutathione in the form of vapours. It is a type of breathing treatment for the deficiency of glutathione in body. The nebulizer is used to administer medications like glutathione or acetyl cysteine in to the lungs via nasal route. Sometimes an essential oil is blended along with the medication which helps to soothe the lungs and tissues of nasal cavity. Glutathione is administered in the form of two combos i.e. glutathione alone with essential oil or glutathione along with cysteine mixed with essential oil. This breathing treatment is so relaxing that patient may easily sleep.

Glutathione Nebulizer Treatment

Nebulizer is used for the breathing treatment. And glutathione is administered with the help of nebulizer. Glutathione nebulizer is used in case of glutathione deficiency. Glutathione synthase when become deficient, it leads to the inhibition of formation of glutathione molecule. Glutathione is essential for cells, as it is responsible for neutralizing the harmful molecules produced during energy production. There are many reasons behind the deficiency of glutathione. There may be some disease like cystic fibrosis, which will decrease the glutathione level . In such situation, glutathione nebulizer is recommended to fulfil the deficiency of glutathione.

Glutathione Nebulizer Treament Benefits, Solution, Side Effects

Glutathione Nebulizer Benefits

As glutathione is administered with the help of nebulizer so it is the vapours dosage form which is inhaled through nasal cavity. The inhaler have many benefits over other dosage forms. It is specially designed to relief the lungs and nasal tissues. There are many respiratory or lung diseases, for which inhaled glutathione is recommended. Some of the main diseases include, idiopathic pulmonary fibrosis, cystic fibrosis, emphysema, cancer in lungs, asthma and build up of fluids in the body. Via nebulizer, the drug is successfully inhaled. All the dose is delivered successfully to the target site.

Glutathione Nebulizer Solution

Glutathione nebulizer is recommended for the condition in which there is deficiency of glutathione in body. Glutathione is administered in the three types of combos. It is administered alone without any mixture of essential oil or any other drug solution, or it is administered along with the drug solution of acetyl cysteine, or it is administered by mixing with any essential oil and make a solution. The solution form turns it in the form of vapours and with the help of aerosol principle, these moist vapours are delivered to the nasal cavity and reach to the lung cavity.

Glutathione Nebulizer Side Effects

There are various major and minor side effects associated with glutathione nebulizer and also with glutathione administration. The minor side effects associated with glutathione nebulizer are unpleasant odour and transient coughing. And these are common side effects. Patient is recommended to check his sulfite level in urine before starting treatment of glutathione nebulizer. The major side effect associated with glutathione nebulizer is the bronchoconstriction. Bronchoconstriction with glutathione nebulizer is only reported in asthma patients because patient may be sensitive to sulfite. Side effects of glutathione administration include lower zinc levels in body. It may initiate asthma attack and as a result wheezing may occur.
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Percutaneous Tenotomy in Plantar Fascia, Tennis Elbow, Achilles Tendon, CPT Code

Percutaneous tenotomy is a procedure in which a needle is used to inject inside skin under the supervision of ultrasound. The needle is used to make slices or small holes in the tendon. Percutaneous tenotomy is also known as percutaneous needle tenotomy PNT. This procedure is performed to treat tendinopathy. It is also performed to treat pain in a tendon via making breaks in the scar tissue and microtrauma. Breaks in a scar tissue or microtrauma leads to the local inflammation of the site and as a result blood circulation increases. Due to increased circulation, the healing process becomes fast.

Percutaneous Tenotomy In Plantar Fascia

Plantar fascia is a calcaneous thick tendon attached to the heel bone. Percutaneous needle tenotomy PNT is used to treat the scarring in the plantar fascia. The needle is injected inside the foot from the lower side. It is done under the supervision of ultrasound. Needle will treat the scar tissue and osteophyte. It will also help in treating the pain. Percutaneous tenotomy is helpful for that purpose instead of any other procedure. After percutaneous tenotomy, patient will take about 6 to 10 weeks for recovery. After 10 weeks, patient can walk properly without any support.

Percutaneous Tenotomy In Tennis Elbow

Tennis elbow is a condition in which the degenerative tear of tendon occurs at the origin of extensor muscles. To treat that tear of a tendon, percutaneous needle tenotomy PNT is performed. In this procedure, an 18 guaze needle is used to inject inside the skin. Ultrasound supervision is necessary to check the exact location. The needle is hypodermic and it is safe, effective, simple and patient friendly. Percutaneous tenotomy is an easy reproducible method for the treatment of tennis elbow. The recovery is fast in case of percutaneous needle tenotomy PNT procedure which makes it preferable.

Percutaneous Tenotomy in Plantar Fascia, Tennis Elbow, Achilles Tendon, CPT Code

Percutaneous Tenotomy In Achilles Tendon

Achilles tendon is present in foot of a person. The foot is rigid due to this specific tendon i.e. Achilles tendon. With the help of percutaneous needle tenotomy PNT a small incision is made in the tendon. This incision is done with the help of a fine needle. This fine needle is injected inside the skin under the supervision of ultrasound. The incision on this tendon makes it flexible and relieves rigidity. Flexible Achilles tendon after incision will help a lot in movement of foot during walking and performing other activities.

Percutaneous Tenotomy In CPT Code

Only one CPT code is used for the all types of percutaneous needle tenotomy PNT. Whether it is performed for tennis elbow, lateral or medial, epicondylitis and golfers elbow. The code used is 24357. There are no separate codes for  percutaneous needle tenotomy PNT according  to the location. This latest specific code is in use right now. This is the only billable or specific cpt code used for the percutaneous needle tenotomy PNT. CPT codes are used for the purpose of diagnosis. Physicians usually use CPT codes for the regular discussion of problem or disease.
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Severe Left & Right Lateral Recess Stenosis Treatment

As the name indicates, stenosis means narrowing of the tubular pathways. Recess stenosis is the narrowing of lateral part of spinal cord. We can also call it spinal stenosis. In lateral recess stenosis, the foramen of spinal cord which is known as exit doorway of spinal canal narrows and the available space is decreased. This narrowing may occur due to the following reasons. Due to over growth of the facet joints along with bulging of discs. Discs lose their height and tension which leads to sloppy movement of one vertebrae on another.

Severe Lateral Recess Stenosis Treatment

Treatment of recess stenosis depends upon the severity of symptoms and cause behind it. Medications are always preferred for the treatment but if medications are of no use, then surgical treatment is preferred. Usually some medications are used to relief the symptoms like pain. So pain relievers are used like over the counter analgesics and NSAIDS.  Anti inflammatory drugs are also used. Some anti convulsants and anti depressants are prescribed for recess stenosis. Corticosteroids and anesthetics are also prescribed in the form of injections. Some pain killers are used which are prescribed by doctor like opioids.

Severe Left & Right Lateral Recess Stenosis Treatment

Severe Left Lateral Recess Stenosis

When recess stenosis occurs at extreme level i.e. narrowing of tubular vessels occur beyond limit the space at drainage system of spinal cord is disturbed. Many functions of body are disturbed due to recess stenosis. There are two major sites i.e. left sided recess stenosis and right sided recess stenosis. When the narrowing of tubular vessels of foramen occurs on the left side of the spinal cord, then functions of the same side of body is disturbed or affected. The problem in body parts is depend upon the region involved in recess stenosis.

Severe Right Lateral Recess Stenosis

The narrowing in the tubular vessels of the foramen occurs due to many reasons. Of the joint is swelled on the right side if the running spinal cord, then symptoms may appear on the same side of body. The opposite side of recess stenosis is not affected. The pain may radiate through right sided shoulder to the arm and hand and in the lower limb i.e. right sided hip, knee and then foot. The symptoms on either side of body helps a lot in diagnosing the site of occurrence of recess stenosis in spinal cord.

Cervical Lateral Recess Stenosis

Lateral cervical recess stenosis is not much different from lateral recess stenosis. As cervical part is involved in cervical lateral recess stenosis. Cervical lateral recess stenosis may occur due to the encroachment of the lateral recess. It may also occur due to neuroforamina of the specific cervical region. Neuroforamina primarily may occur due to the uncovertebral joints. As hypertrophy of uncovertebral joints is responsible for this. Annulus bulging of the lateral discs. Hypertrophy of the facet is another reason. As cervical part of spinal cord is mainly involved in recess stenosis, so it may vary 12 to 14 mm in diameter from thoracic spinal canal.
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Biochemical Pregnancy in IVF, Symptoms, Causes, Success Rate, Loss

The pregnancy loss right after implantation of fetus is known as biochemical pregnancy. Biochemical pregnancy is considered a main reason behind 50 to 75 percent of miscarriages. Biochemical pregnancy occurs at very early stage that ultrasound cannot detect it. But a blood test or urine test can show positive pregnancy test because hCG (human chorionic gonadotropin)  hormone level increases at initial stage.  hCG hormone (human chorionic gonadotropin) is created right after implantation and before biochemical pregnancy. Some women are not aware of their biochemical pregnancy because it is asymptomatic.

Biochemical Pregnancy Symptoms

Some women undergo biochemical pregnancy without knowing about pregnancy. This is so because biochemical pregnancy is asymptomatic. In some cases, women experience some symptoms like muscle cramps in the lower abdominal region, mentrual like pain, bleeding from vagina in starting days (days in which pregnancy is confirmed). Bleeding is not always considered a symptom of biochemical pregnancy because bleeding is normal while implantation of fetus. Implantation means fusion of a sperm with egg. Biochemical pregnancy does not give enough time for the nausea and fatigue because it occurs after short time of implantation.

Biochemical Pregnancy in IVF, Symptoms, Causes, Success Rate, Loss

Biochemical Pregnancy in-vitro Fertilization

Biochemical pregnancy can also occur after fusion of egg and sperm in in-vitro fertilization IVF. After fusion of egg and sperm in in-vitro fertilization, the zygote is transferred to the womb of mother. But after placing of zygote, biochemical pregnancy occurs. In-vitro fertilization is carried out if the fallopian tubes are damaged, endometriosis occurs, ovulation problems and uterine fibroids. There may be any other problem regarding fertilization. A pregnancy test is performed to check pregnancy within 9 to 14 days after in-vitro fertilization. If there will be a problem or abnormality in embryo, then unfortunately biochemical pregnancy can occur.

Biochemical Pregnancy Causes

Biochemical pregnancy is a miscarriage which does not have any specific cause but can occur due to abnormality in embryo. Embryonic abnormality include low quality of sperms and egg. Causes other than this may include abnormalities in uterus, abnormality in hormonal level, some infections like chlamydia and syphilis also cause biochemical pregnancy and In vitro fertilization i.e. implantation of embryo outside uterus. Other than these, age also affects biochemical pregnancy. Women after 35 years of age can undergo biochemical pregnancy. Other medical problems include thyroid disorder and clotting.

Biochemical Pregnancy Success Rate

Biochemical pregnancy varies from person to person. Patient may have consecutive miscarriages one after the other due to biochemical pregnancy. But in some cases, women may have a successful pregnancy after biochemical pregnancy. It depends on condition of patient and care. The success rate is 48 percent.

Biochemical Pregnancy Loss Rate

After studying various cases of biochemical pregnancy, the chances of pregnancy after IVF are 54 percent, chances of pregnancy after biochemical pregnancy are 61 percent and chances of pregnancy after previous spontaneous abortion are 46 percent. The loss of pregnancy chances are high as compare to successful pregnancy after biochemical pregnancy.
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