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Search Results: 1 - 10 of 810 matches for " Panagiotis Kafas "
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Type-A Periostitis Ossificans: A Rare Case of Disrupted Radiological Onion Skin Appearance
Panagiotis Kafas,Stylianos Dalabiras
Research Journal of Medical Sciences , 2012,
Abstract: Periostitis ossificans of the mandible is an unusual pathological condition. It is usually observed in children where a mandibular first molar commonly presented with extended caries. We describe a case where a boy 12 years old suffered from type-A periostitis ossificans with the typical radiological signs such as `onion skin` appearance. The management plan is discussed with great emphasis on the decision making.
Evaluation of a Greek National Hospital Information System: A Prospective Study
Nikomacheia Chiotaki,Panagiotis Kafas
Research Journal of Applied Sciences , 2012,
Abstract: Hospital Information Systems (HIS) focus on developing effective patient`s care through the high-qualified medical, nursing and administrative services. However, user`s opinion and satisfaction is fundamental for the successful information system adoption and acceptance. Evaluation of a Greek national hospital information system and assessment of the user satisfaction using the System Usability Scale (SUS) is the purpose of the study. The study sample consisted of 64 volunteers subdivided into two main groups (Health professionals = 21, administrative employees = 43). The evaluation of the individual satisfaction performed using SPSS 12 and more precisely by descriptive statistics and correlations. The findings confirm the ability and willingness of the national health care personnel to use information systems but the low percentage of users should be emphasized. At the beginning of the 21st century a new strategic plan is essential for the essential training of the personnel. In the light of the existing evidence, the use of information systems is cost effective and time saving procedure with many advantages. Ideally, this application could be a part of the regular personnel training under the supervision of the Greek Medical Council or other Governmental health authorities.
Direct Bond Eyelet with Silver Chain in Surgical Orthodontics: A Case Report
Panagiotis Kafas,Marios Theodoridis
Surgery Journal , 2012,
Abstract: A male patient, 22 years old presented to the clinic for evaluation of the upper right impacted canine. It was decided to apply orthodontic traction via a new direct bond eyelet with chain material. A great emphasis on the discussion was given to the easy application of this material with the advantages and disadvantages in comparison to other well described methods. The golden goal of primary intention in the field of healing may give superior aesthetic and functional results. Concluding, this new orthodontic material may be used in surgical orthodontics as a cost effective technique.
Glucosaminoglycan Phonophoresis of the TMJ in the Symptomatic Treatment of Internal Derangement
Panagiotis Kafas,Nikomacheia Chiotaki,George Kafas
Journal of Medical Sciences , 2007,
Abstract: Internal derangement is the medical condition, which may affect the joint and indirectly the masticatory muscles. A newly designed dental and physiotherapeutic approach of the head and neck area is presented and assessed with pain relieving results in a patient suffered by internal derangement of temporomandibular joint (TMJ) with reduction. The combined use of soft mandibular splint, phonophoresis of glucosaminoglycan at 1MHz and massage used to relief mandibular function and relieve acute disability. The pre-treatment inter-incisal distance measured at 25 mm, while the post-treatment mouth opening measured at 38 mm. In the follow up, three months later the patient was pain free and discharged. The current treatment plan was not reported before in the literature and composed of non- surgical methods. The physiotherapy may be helpful in symptomatic relief of internal derangement and muscular tension of the craniofacial system and considered to be a non-invasive, topical and physically supportive to the first line dental treatment modalities.
Is the Success of Implant Surgery Influenced by Hepatitis B Condition? A Case Report
Panagiotis Kafas,Ilias Andreopoulos,Georgios Kafas
Journal of Medical Sciences , 2007,
Abstract: A male patient 54 years old referred to the clinic for extraction of the upper right lateral incisor due to serious periodontal problems. The history revealed hepatitis B infection without other exogenous or endogenous conditions and relative or absolute contraindications for implant surgery. It was planned to place surgically an implant in the fresh wound socket immediately after the extraction. The extraction performed with luxators with a maximum respect to the surrounding bone. A small buccal flap raised for gaining access at the area. The bone defect caused by periodontitis was found mainly in the buccal aspect. The use of bovine bone graft was found very useful as a scaffold for filling the defect. The bone substitute was applied mixed with fresh blood by using a small dental curved spatula. The healing was uncomplicated. It was concluded that the carrier of hepatitis B does not pose complication when the treatment is adherent to the surgical protocols.
Chewing Ability, Mood and Sleep are Negatively Influenced by Chronic TMJ Pain: Preliminary Results
Panagiotis Kafas,Georgios Kafas,Angelos Christofides,Nikomacheia Chiotaki,Marios Theodoridis
Research Journal of Medical Sciences , 2012,
Abstract: Temporomandibular Joint pain may be characterized as a unilateral or bilateral pain in the joint and its associated craniofacial muscular system. Chronic pain in general is negatively associated to quality of life. Therefore, it was our clinical interest to investigate the role of chronic TMJ pain on various important life activities. The Brief Pain Inventory has been used for the evaluation of these factors of life quality. The findings showed that all the variables affected in negative terms by chronic pain. Concluding the importance of early diagnosis should be emphasized considering the consequence of the chronic illness.
Ulcerative Gingival Granuloma: A Condition for Bone Biopsy
Panagiotis Kafas,Georgios Kafas,Kosmas Manafis,Christos Stavrianos
Pakistan Journal of Biological Sciences , 2008,
Abstract: Osteomyelitis as a medical term defining a specific type of infection may be classified in acute and chronic form. In our case an acute mandibular osteomyelitis is reported with evaluation of the clinical and histological examination. The biological course of the disease determined on that basis. The significance of this report focused on the early diagnosis and the possible need for bone biopsy.
Mandibular Radiological Findings in Thalassaemia Patient with Maxillary Overgrowth: A Case Report
Panagiotis Kafas,Grigoris Kyriatzis,Georgios Kafas,Marios Theodoridis
Journal of Medical Sciences , 2007,
Abstract: A 42-year-old Caucasian female presented to the clinics of oral surgery complaining of painless maxillary expansion similar to multiple exostotic appearance. The Thalassaemia patient reassured for the benign nature of maxillary overgrowth. The radiological findings are discussed with a great emphasis on the possible association of mandibular radiological signs to Thalassaemia disorders.
Chronic Temporomandibular Joint Dysfunction: A Condition for a Multidisciplinary Approach
Panagiotis Kafas,Sotirios Kalfas,Rachel Leeson
Journal of Medical Sciences , 2007,
Abstract: Chronic temporomandibular joint dysfunction is a common pathological condition affecting the joint(s) and the associated muscles of mastication. It may be clinically expressed as unilateral or bilateral pain of the related area, diminished mouth opening, various sounds of the joints and occasionally ear symptoms. The etiology constitutes the radix of the treatment. Therefore, education and assessment of a broad spectrum of predisposing and promoting factors would lead to a more specific treatment plan. The management of the chronic temporomandibular joint dysfunction could be simple or complex. The choice of the treatment, based on the etiology, may be characterized as psychological or operational. The conservative treatment is beneficial in most of the cases. This literature review focused on the pathogenesis and the management of this complex clinical entity.
Third molar surgery: the patient's and the clinician's perspective
Waseem Jerjes, Tahwinder Upile, Panagiotis Kafas, Syedda Abbas, Jubli Rob, Eileen McCarthy, Peter McCarthy, Colin Hopper
International Archives of Medicine , 2009, DOI: 10.1186/1755-7682-2-32
Abstract: Specifically, three main areas of interest were investigated: the prediction of surgical difficulty and potential complications; the assessment of stress and anxiety and finally the assessment of postoperative complications and the surgeon's experience.In the first study, the prediction of surgical difficulty and potential injury to the inferior alveolar nerve was assessed. This was achieved by examining the patient's orthopantomograms and by using the Pederson Difficulty Index (PDI). Several radiological signs were identified and a classification tree was created to help predict the incidence of such event.In the second study, a prospective assessment addressing the patient's stress and anxiety pre-, intra- and postoperatively was employed. Midazolam was the active drug used against placebo. Objective and subjective parameters were assessed, including measuring the cortisol level in saliva. Midazolam was found to significantly reduce anxiety levels and salivary cortisol was identified as an accurate anxiety marker.In the third study, postoperative complications and the surgeon's experience were examined. Few patients in this study suffered permanent nerve dysfunction. Junior surgeons reported a higher complication rate particularly in trismus, alveolar osteitis, infection and paraesthesia over the distributions of the inferior alveolar and lingual nerves. In apparent contrast, senior surgeons reported higher incidence of postoperative bleeding.These studies if well employed can lead to favourable alteration in patient management and might have a positive impact on future healthcare service.The removal of third molars is the most common surgical procedure practiced in oral & maxillofacial surgery (OMFS). The procedure can be implemented under anaesthesia (either local or general) or intravenous sedation.The patient's journey starts when they present with pain, recurrent swelling or recurrent infection in the third molar area. The patient is usually referred for asse
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