Tarun Mittal

• BDS
• University of Leeds

Introduction: This survey was undertaken as a second part to 'Barriers to Post-CCST training in orthodontics: A survey of trainee perceptions'. Recruitment of Post-CCST trainees in certain areas of the country has attracted concerns as it has become increasingly difficult. This survey was undertaken to assess trainee satisfaction with Post-CCST tr...

Orthodontic treatment of an anterior open bite is one of the most challenging malocclusions to treat, especially with respect to post-treatment stability. Complete diagnosis and targeted treatment is required for successful post treatment stability. In instances where macroglossia is the primary aetiology, partial glossectomy will greatly improve p...

Introduction In order to be eligible for consultant appointments within the NHS, orthodontists can undertake higher specialty training after their Certificate of Completion of Specialist Training (CCST). These training posts are known as Post-CCST positions and orthodontists must be eligible for inclusion on the General Dental Council’s (GDC) speci...

Background: Neurological manifestations are an important cause of morbidity in antineutrophil cytoplasmic antibody (ANCA) associated vasculitis (AAV). It is not clear whether or not they are indicative of a severe disease course with multiple organ involvement and shortened survival. Aims and objectives: To characterize the neurological manifest...

Objective: Can we reliably discriminate severity within the existing categories of the 5-Year-Olds' Index? Design: Retrospective method comparison and development study. Setting: School of Oral and Dental Science, University of Bristol. Methods: Dental study models of 5-year-olds with unilateral cleft lip and palate (UCLP) were collected fro...

The eruption of the molar teeth represents the start and end of the establishment of the permanent dentition. This process often occurs without event, but occasionally abnormalities of eruption occur and most frequently this affects the third molar. This article gives an overview of the possible aetiology, diagnosis and treatment of the aberrant mo...

The study objective was to measure dental caries experience in the cleft lip and/or palate population in the West of Ireland by undertaking a retrospective review of clinical records of all cleft patients attending between 2000 and 2016. The main outcome measures were dmft/DMFT index, ethnicity, age, gender, cleft type, medical, social and family h...

The eruption of the permanent canine, particularly the maxillary tooth, is a milestone in dental development. Although often uneventful, occasionally there are disturbances in eruption, the management of which can be one of the more challenging aspects of orthodontics. This article gives an overview of the possible treatments of the aberrant canine...

The eruption of the permanent canine, particularly the maxillary tooth, is a milestone in dental development. Although often uneventful, occasionally there are disturbances in eruption, the management of which can be one of the more challenging aspects of orthodontics. This article is presented in two parts. Part 1 gives an overview of the possible...

Second premolars are one of the last successional teeth to erupt in the maxillary and mandibular arches. Early loss of primary teeth or first permanent molars can lead to disrupted eruption of these teeth. This article gives an overview of the possible aetiology and treatment of the aberrant second premolar. CPD/Clinical Relevance: Awareness of the...

The maxillary permanent central incisor develops early in life and forms part of an aesthetic smile. Disruption of the formation or eruption of the permanent central incisor has multiple aetiological factors. Treatment options depend to some extent on the cause of failure of eruption of the central incisor. Generally, the earlier treatment is provi...

Being able to predict the likely timing and duration of growth accurately, in particular the pubertal growth spurt, is important in orthodontic treatment planning. The different assessments of growth, their advantages and disadvantages will be described. CPD/Clinical Relevance: A knowledge of the typical assessments of skeletal growth is important...

Impaction of mandibular second permanent molars is a rare occurrence, with prevalence rates reported to be between 0.65% and 2.0%. In the absence of systemic conditions, impactions are usually unilateral. There appears to be no consensus as to the optimal treatment for impacted mandibular second molars and treatment plans will be based upon the ind...

Background Renal involvement is a serious complication of anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV). We describe the pattern of renal involvement and its correlation with outcomes. Patients and methods Medical records of 92 patients seen in rheumatology clinic and diagnosed as AAV between January 2007 and June 2014 were analy...

Diabetes mellitus is a common cause of pyelonephritis. Both emphysematous pyelonephritis (EPN) and non-EPN (NEPN) are associated with poor outcome. This study was aimed at analyzing the clinical features, microbiological profile, prognostic factors, and treatment outcome of pyelonephritis in diabetic patients. A total of 105 diabetic patients with...

Renal involvement is a common occurrence in subjects with rheumatological diseases and can develop either due to the disease itself or secondary to drugs used in the treatment. The prevalence of renal involvement and its severity depends on the underlying disease as well as aggressiveness of the therapy. For most rheumatological diseases, renal inv...

This study was designed to compare the outcomes of spousal donor (SD) with related donor (RD) kidney transplants performed at our center between January 2010 and October 2012. A total of 323 adult, ABO-compatible kidney transplants (SD 150 [46.4%], RD 173 [53.6%]) were included. Data on outcomes at 6 months post-transplant was collected retrospecti...

AKI specific to the renal transplant includes ischemia-reperfusion injury, acute rejection, acute calcineurin inhibitor (CNI) toxicity, venous or arterial thrombosis, urinary tract obstruction, graft pyelonephritis and recurrent disease. The graft is more susceptible to hemodynamic insults as it is denervated and there is at least partial loss of i...

Background The current classification of systemic necrotizing vasculitis (SNV) is confusing as many patients satisfy criteria for different diseases in different classification systems. Recently, a new classification algorithm was proposed by Watts et al¹ by using the American College of Rheumatology (ACR), Chapel Hill Consensus Criteria (CHCC) and...

Many patients with systemic necrotizing vasculitis (SNV) satisfy classification criteria of different disease entities when different classification systems are used. A new classification algorithm has been proposed recently by using the American College of Rheumatology criteria, Chapel Hill Consensus Criteria (CHCC) and Sorensen surrogate markers...

Introduction BCCs are the most common skin malignancy1 BCCs are known to nearly never metastasise2 Aggressiveness of the lesion can be related to its subtype3 Principal treatment is surgical removal with a margin4 British Association of Dermatologists quote 85% cure rate with 3mm margin, 95% with 5mm5,6 Incomplete excision rates range 0.7-9%7...

Introduction The vast majority of cancers affecting the head and neck are squamous cell carcinomas. Patients often present late, with advanced stages of disease and thus possess an increased risk of presenting with distant metastases, the knowledge or presence of which dramatically alter the treatment and reduce prognosis. The most common site for...

INCIDENCE OF CHEST METASTASES IN HEAD AND NECK CANCER PATIENTS: IS CT NECESSARY WITH ALL PATIENTS? Arti Hindocha1, *, Philip Ameerally1, Leone McCarthy1 1Northampton General Hospital, UK Introduction: Squamous cell carcinoma (SCC) accounts for the majority of tumours of the head and neck. The development of a malignant neoplasm of the lung, includi...

Following acute organophosphate exposure, morphological changes in certain regions of the brain have been reported to develop within a few hours and involve neuronal degeneration. Single photon emission computed tomography (SPECT) has been used to determine changes in the regional cerebral blood flow and attempts have been made to correlate these c...

Cardiovascular involvement occurring in 20-30% patients is the second most common cause of mortality in patients with relapsing polychondritis. Aortic insufficiency occurs as a result of aortic root dilatation rather than primary valvular involvement. We are reporting a patient of relapsing polychondritis with aortic root dilatation, in whom instit...