Frenectomy is a surgical procedure that commonly used to address issues related the frenulum which can affect speech and cause midline diastema looks unesthetic. Z-plasty modification of standard frenectomy reposition improve outcomes. This article provides an overview by using Z-plasty, including in detail, potential risks complications, discussion its clinical applications outcomes.
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As the number of systems which offer annotations on digital documents increases, robust anchoring of annotations is a key challenge. It is especially important if the annotator lacks write-access to the document being annotated. For example, if someone makes an annotation on a web page today and the web page changes tomorrow, what happens to the annotation? One approach is simply to “orphan” th...

Background: Hospitals may be under pressure to implement cost saving strategies regarding prosthesis choice. Thismay involve the use of components which are not the first preference of individual surgeons, or those they have littleexperience with. We aim to examine the effect of standardizing the type of femoral stem used in a single trust, anddetermine whether this is safe practice, particular...

Background: To explain the role of arthroscopic release in intractable frozen shoulders. We used different questionnaires and measuring tools to understand whether arthroscopic release is the superior modality to treat patients with intractable frozen shoulders. Methods: Between 2007 and 2013, in a prospective study, we enrolled 80 patients (52 females and 28 males) with recalcitrant frozen sho...

background: pregnancy has a huge impact on the thyroid function in both healthy women and those that have thyroid dysfunction. the prevalence of thyroid dysfunction in pregnant women is relatively high. objective: the objective of this review was to increase awareness and to provide a review on adverse effect of thyroid dysfunction including hyperthyroidism, hypothyroidism and thyroid autoimmun...

background: women 35-39 years old have a 2–3 fold higher risk of pregnancy-related death than women in their twenties and the risk is even more dramatic for women 40 years and older. objective: the aim of this study was to investigate the association of maternal age with risk of adverse pregnancy and mother outcomes in our setting tehran iran. materials and methods: in this retrospective observ...

background: the adult cardiac surgery databank (acsd) of tehran heart center was established in 2002 with a view to providing clinical prediction rules for outcomes of cardiac procedures, developing risk score systems, and devising clinical guidelines. this is a general analysis of the collected data. methods: all the patients referred to tehran heart center for any kind of heart surgery betwee...