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Excision of Mucocele Using Dental DIODE LASER

Introduction- Mucoceles are known as “mucus filled cavities” usually present in the oral cavity, lacrimal sac, and paranasal sinuses.
Preoperative View (Courtesy – Dr. Sana Farista)

Etiology - Mucus extravasation and mucus retention are the two most frequently occurring primary mechanical obstructive diseases of salivary glands. Formation of mucus extravasation cyst is mainly due to mechanical trauma causing rupture of ductal system of salivary gland and mucin spills into adjacent soft tissues. Mucus retention cyst is formed markedly by obstruction of salivary ductal walls causing dilatation of ducts without spillage of mucin.
Treatment - Although mucoceles may occur literally anywhere in the oral cavity, the most common sites of occurrence are the lower lip. These lesions are soft, fluctuant and closer to the surface. They have a slightly bluish tinge as the mucin shine through. Mucoceles are benign lesions and do not necessarily warrant removal unless their size causes hindrance or they look unaesthetic. There are various treatment aspects available for the management of mucocele like scalpel incision, complete surgical excision, marsupialization, micromarsupialization, intralesional injections of corticosteroids, cryosurgery, laser ablation, sclerosing agent, and electrocautery methods. The conventional treatment includes removal by a surgical excision wherein the entire mucoceles is removed in toto along with any accompanying minor salivary glands to minimize recurrence. One of the more popular methods for mucocele excision is via a diode laser.
The main advantages of soft tissue laser applications are minimal intraoperative bleeding and swelling, minimum postoperative pain, very less surgical time, without any need of suturing after excision because of natural wound dressing due to denatured proteins.
After informed consent, the lesion is infiltrated with local anesthesia, the protective eye wears are worn and then the lesion is excised using soft tissue diode laser with either wavelength of 810nm/980 nm in contact mode or with450nm wavelength in noncontact or slight contact mode. After the procedure, postoperative instructions are given and analgesic is prescribed on SOS basis. Also, care should be taken to get rid off the cause (sharp cusps or fractured tooth if any) along with the excision to make the treatment outcome more predictive. Here low level laser therapy can also be done over the exposed wound area using 660nm (red light) in noncontact mode to assist in faster healing and to manage postoperative pain.
According to a study by Carlo Fornaini et al 2016, blue light dental lasers provide minimal discomfort to patients and complete healing occurs within 4-5 days with little traces of carbonization in the histopathological investigation. The use of diode lasers in general have been considered to be an effective and safe alternate to the use of scalpel, another study by M Paglia et al 2015 concluded that dental diode lasers is also seen to minimize relapse of mucocoeles in pediatric patients.
Lesion marked with Diode laser (Courtesy – Dr. Sana Farista)

Immediate Postoperative View (Courtesy – Dr. Sana Farista)

Conclusion - Diode dental lasers can be a useful alternative to larger surgical lasers such Erbium and CO2 lasers. Their small size and low cost are distinct advantages. They sterilize the working area, as well as provide coagulation and hemostasis during excisions. Laser application makes it possible to reduce apprehension and fear especially in pediatric and geriatric patients.
References – Fornaini C et al. 450nm diode laser: A new help in oral surgery. World J Clin Cases  2016 September 16; 4(9): 253-257 and M. Paglia etal. Mucocele of the minor salivary glands in an infant: treatment with diode laser. European Journal of Paediatric Dentistry. 2015; 16(2): 139-142.
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Now, let’s discuss here some of the most effective treatment options for psoriasis that help you cure the disease permanently. 1. Light Therapy If we talk about one of the most effective treatment options for psoriasis, light therapy is one of those. It’s the first line of treatment option for moderate to severe psoriasis either in the combination with medicines or alone. It’s something that involves exposing skin to a controlled amount of artificial or natural light. You need to go for those of repeated treatment. You need to consult the best doctor for psoriasis in Hyderabad to know whether home phototherapy is the best option for you. In light therapy, specialists include different types of light including Goeckerman therapy, sunlight, UVB broadband, UVB narrowband, Excimer laser, and Psoralen plus ultraviolet. 2. Topical Therapy When comes topical therapy, it’s another best method of psoriasis treatment that the psoriasis specialist in Hyderabad may also recommend you go for. 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They examine your health and also various other conditions and symptoms for psoriasis treatment. They will suggest you the best specialists for psoriasis treatment. They will help you go for a physical therapist, board-certified dermatologist, rheumatologist, and mental health professional. 2. Approach a Medical Dermatologist The next tip that you need to follow to find the right skin clinic in Hyderabad for psoriasis treatment is to find the best medical dermatologist. You may be aware that some skin doctors focus on various cosmetic procedures such as laser treatment for wrinkles, or Botox treatment. There’s the possibility that they may be less experienced when curing conditions of psoriasis. You will come across many dermatologists who are specialized in performing both medical and cosmetic work. You should also look for those who specialize in excimer laser or phototherapy. Besides, they also prescribe biologics. 3. Search for your Team on your Own The next thing that you should do is search for other dermatologists and also many other specialists. You need to use various online resources from some of the specialized national groups in the tour country. Moreover, if you have health insurance, then you should make sure that the dermatologist that you choose for psoriasis treatment covers your health insurance plan. 4. Consult Psoriasis Doctors A good option for you is to find an experienced psoriasis doctor and discuss your problem with them. Once you get an appointment with your doctor, you should treat the same just like a job interview. You need to find a doctor who should know various crucial details about psoriasis. They should be capable of answering your concerns you have about treatment. You need to ask several questions about how many people with this disease they treat on a regular basis, do they suggest phototherapy, do they offer biological treatment, and more. You need to bring up anything that bothers you, even if it’s not related to your psoriasis. You should approach your dermatologist if you have any health issues. 5. Always Get in Touch with the Pharmacist Last but not least, you should always be in touch with pharmacists. They can be an important part of your team for psoriasis treatment. They help you create a wonderful plan for ensuring that you can follow your doctor’s instructions safely and also in the easiest way. They might also be capable of suggesting those over-the-counter products that will provide you with all the possible treatment plans that work perfectly. Final Words You can cure psoriasis permanently if you get treatment at the initial stage. You should immediately get in touch with a reputed dermatologist to avoid further complications.
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Auto CPAP - Treatment For Sleep Apnea
Automatic Positive Airway Pressure, or APAP, is a treatment for sleep apnea. It's a machine that automatically adjusts the pressure level to make breathing easier and more comfortable. CPAP (Continuous Positive Airway Pressure) and APAP are both effective treatments for sleep apnea. But, they differ in several ways. During the night, APAP provides more pressure to keep your airway open, while CPAP keeps your airways open at a constant pressure. In addition, CPAP and APAP machines can be set up to automatically adjust their pressure levels throughout the night. This makes treatment more comfortable and less stressful, while saving you time and money. The main differences between CPAP and APAP are their range of pressure and their ability to automatically adjust. However, they both deliver a steady stream of pressurized air. CPAP uses a machine that can deliver an oxygen-enriched airstream to your airway. When your body snores or breathes out during the night, the airstream pushes against the blockages, keeping your airway open. The amount of air pressure that you need depends on a number of factors, such as your sleeping position, the number of sleep apnea events you have had, your age, and any medical conditions you may have. If you need additional help, you can visit a sleep lab to get more information. The amount of pressure needed to treat sleep apnea can vary from person to person. Your doctor can use a sleep test to determine the amount of pressure that is required for you. Home sleep study can also provide a basic idea of the amount of pressure you need. You can reach out to The Air Station for more information about the home-based sleep study test, and get a sleep apnea treatment with the advaned CPAP device, ResMed AirSense 10, which is availabe in Singapore.
Aggressive efforts required for India to become a Global Manufacturing Hub
PM Narendra Modi said recently that the government launched the Make in India campaign to create employment and self-employment opportunities for the youth and the government is working aggressively towards making India a Global Manufacturing Hub. He added that the government machinery will be required to make a number of corrections on the policy front and is committed to make India an easy place to do business. According to Modi, the BJP govt wants to present to the world the enormous opportunities that India offers as a base for manufacturing, design, research and development. Interestingly enough, fintech innovator, Jignesh Shah, who created an ecosystem on the ideology of ‘Make in India’ creating millions of job opportunities for the youngsters of India, has lapped up the new growth initiatives by the PM who has also spoken about innovation in socio-agricutural activities as a business model. Jignesh Shah and his companies have also carried out various CSR activities like ‘Gramin Suvidha Kendra’ in association with India Post and ‘Pragati’ with Rotary International in the past focuing on empowering the unprivileged communities with education and training. Over the years, Jignesh Shah has received a series of awards for his contributions towards the society. Institutional Investor had featured him among the 'Top 30 Global Innovators in e-finance' in 2008. He was also listed among the 'Dominant Financial & Futures Industry Leaders for 2008' by Futures Industry Association (FIA), Washington and was awarded the ‘Indian Express Innovation Award’ presented by the then President, Late Dr. A. P. J. Abdul Kalam. Other achievements like getting chosen among the ‘Top 20 Indians’ by CLSA and honoured with the ‘US-India Businessman of the Year’ award also proves his competency. Today's young entrepreneurs would do well to jump the bandwagon for new India's growth. The PM's vision of Start-up India, Skill India and Digital India is sure to reward them by way of rewards and recognition. Know More: https://www.wbsofts.com/jignesh-shah-the-ecosystem-creator/
Why is Aquaculture Important? Is it Sustainable?
According to WWF, 85% of the world’s marine stocks are either fully exploited or overfished. Our planet’s population is forecast to expand by over 2 billion people by 2050, and with this growth will come much greater demand for food, including seafood. There are many reasons to be optimistic about aquaculture’s increasingly important role in the global food supply.  Aquaculture is Sustainable, when done properly. According to the Food and Agriculture Organization of the United Nations (FAO), aquaculture continues to grow faster than any other major food sector and by 2030 is expected to provide 60% of the fish available for human consumption. Global output is forecast to reach 109 million tonnes by this date, representing a rise of 37% compared to current levels. In addition to controlling the efficient utilisation of specific nutrients, the combination of high-specification diets with the application of optimal feeding has facilitated a steady reduction of feed conversion ratios (FCR). A better FCR has direct consequences on the rearing environment and water quality through a reduction of feed waste. This improved control of the farming system as a whole allows fish and shrimp farmers to maintain more efficient production levels while lowering their impact on the environment. This is an ideal approach to increase further aquaculture production volumes in a sustainable manner. Check out Skretting's commitment towards producing feeds Sustainably or reach us at contact.india@skretting.com