International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
logo
slider
slider
slider
slider
Bootstrap Slider

Indexed and Abstracted in: Crossref, CAS Abstracts, Publons, Google Scholar, Open J-Gate, ROAD, Indian Citation Index (ICI), ResearchGATE, Ulrich's Periodicals Directory, WorldCat (World's largest network of library content and services)

Search Articles

Track manuscript

Full Html

IJCRR - 13(21), November, 2021

Pages: 73-77

Date of Publication: 09-Nov-2021


Print Article   Download XML  Download PDF

Study of Frequency of Iatrogenic Perforations by Group of Teeth and Localization Made by Bulgarian Students

Author: Dimitrova Ivanka, Angelova Liliya, Hristov Krasimir

Category: Healthcare

Abstract:Introduction: Iatrogenic perforation of the pulp chamber floor or the root is a major endodontic complication that may cause treatment failure. Aims: The objective of this study is to analyze the frequency of iatrogenic perforations made during endodontic treatment by last year dental students. Investigating the most affected groups of teeth, and the most common localization of the perforations will help to determine which steps of the endodontic procedure need an alternative approach in students' training and will ultimately improve the education process. Methodology: The data were collected from patient records and obtained from clinical exams during the academic year 2016. The final data comprised 493 teeth. All perforations were confirmed clinically and on an x-ray. Clinical criteria included sudden bleeding or pain during instrumentation; the presence of blood on paper points, confirming perforation via apex locator. Results: 20 iatrogenic perforations were identified during the endodontic treatment of 493 teeth or 4,1% of all clinical cases. More perforations were made in upper posterior teeth (premolars and molars) -45% of all the perforations. The type of the tooth was found to be of no significance for the occurrence of perforation p> 0, 005. 11 teeth or 55% of all 20 perforations were apical, followed by perforations in the furcation area. There are no significant differences found in different types of localization of iatrogenic perforations. Conclusions: Analyzing the data from the current study allows us to establish the need to improve students' practical skills in endodontic treatment of molars and to improve their training in using apex locators so there are fewer apical perforations

Keywords: Endodontic education, Root canal treatment, Iatrogenic perforation, Dental students, Epidemiology, Practical training

Full Text:

Introduction

Accidental perforation of the pulp chamber floor or the root is a major complication of endodontic treatment.  Iatrogenic perforations may occur at any time in root canal treatment and may cause treatment failure. Early diagnosis, size, shape, location, type of perforation, the chosen treatment, the experience of the practitioner, the materials used for the obturation, and host response are the factors that affect perforation management and the prognosis of the tooth.1,2 Endodontic education must be sufficient and up to date so that graduating young dentists, lacking clinical experience still can perform at their best with minimal iatrogenic mistakes. We have to improve undergraduate programs, where it is possible to minimize circumstances like lack of theoretical knowledge and practical skills to affect the future performance of the dentist.3,4The frequency of iatrogenic perforations in different groups of teeth and regarding the location of the perforation is not studied well.5,6 The localization of the perforation and the type of teeth involved is crucial for the treatment outcome.

To find and analyze where learning difficulties may appear, and where the program fails to provide the necessary skills for students, iatrogenic perforations made by Bulgarian students were studied. Their cause, type, frequency, the most affected groups of teeth are the indicators that helped to define the existing problems. An epidemiological study on the technical characteristics of canal fillings in the Bulgarian population7showed a good treatment quality in only 29.6%of the cases studied, which justifies our efforts.

The objective of this study is to analyze the frequency of iatrogenic perforations made by last year students. Investigating the most affected groups of teeth, and the most common localization of the perforations will help to determine which steps of the endodontic procedure need an alternative approach in students’ training and will ultimately improve the education process.

Material and Methods
Dental medicine training in Bulgaria lasts six years. In the sixth year, students have to develop skills in the comprehensive treatment of patients, and endodontics is part of this curriculum. They perform their treatment under supervision, but the specialists supervising them do not approve every step of the process so that students have more autonomy and higher responsibility.

The data were collected from patient records and obtained from clinical exams during the academic year2016. 567 teeth were first included in the study. Case files with missing information and poor radiographs were excluded. The final data comprised 493 teeth and 854 root canals. All 144 last year students participated.

Intraoral radiographs were taken at the beginning, and after each treatment step: determining working length, canal obturation, and post-placement. X-rays with superimposition of anatomical structures, tooth structures, and root canal filling were not included in this research. Criteria for radiographic characteristics of proper endodontic treatment were matched to the European guidelines and other studies on root canal treatment, performed by dental students.4,8

The clinical and radiographical exams constitute the basis of iatrogenic perforation diagnosis.2

Clinical criteria include sudden bleeding or pain during instrumentation of the root canals; the presence of blood on paper points, confirming perforation via apex locator.

Radiographic criteria following the clinical exam:  perforations were diagnosed via radiographic evidence of a file passing through the tooth structure and entering into the periodontal ligament or bone for perforations on the pulp chamber floor, lateral root perforations, and apical perforations. The presence of fresh bleeding in the canal or on the surface of files or paper points and lack of an apical stop are indicators of the perforation of the apical foramen. The penetration of the last file beyond the radiographic apex confirms the presence of this procedural accident.

All patients signed informed consent. The Ethics Commission for Research at the Medical University of Sofia (KENIUMUS)approved the study.

Two experienced researchers were calibrated to a high level of reproducibility with Kappa values of 80-90. They examined separately all radiographs with the aid of a double-magnifying glass. The results were compared and where differences occurred the examiners reached a consensus.

Statistical Methods:

The association between the groups was investigated using cross-tabulation. The differences between the groups were tested using Z-test with Bonferroni correction and were considered statistically significant when p<0.05. Statistical analyses were performed using IBM SPSS Statistics 22.0 for Windows (IBM, Chicago, IL, USA).

Results

In this study, 20 iatrogenic perforations were identified from all 493 teeth that underwent endodontic treatment or 4.1%of all clinical cases. Of the total number of treated teeth, 273  were from the upper jaw. Most of the affected teeth were from the maxilla - 11 teeth; distributed as follows:2 teeth or 0.4%of perforations in upper frontal teeth, 3  teeth or 0.6%of perforation in upper premolars and  6 teeth or  1.2%of perforations in upper molars  (Table 1).

All groups of teeth were affected by perforations, but they were most common in the maxilla (55%of all perforations) (Table 2). More perforations were made in upper posterior teeth (premolars and molars)- 45%of all the perforations made in 2016 (Table 2). The type of the tooth was found to be of no significance for the occurrence of perforation ?>0,005 (Table 2).

The highest reported per cent procedural error was for the group of upper molars (1.2%) compared to the overall prevalence of perforations (4.1%) (Table 3). The least affected by iatrogenic perforations in this study are upper and lower frontal teeth (Table 3).

In the academic year of 2016, 11 teeth or 55%of all 20 perforations were apical, followed by perforations in the furcation area(Table 4). There were no significant differences found in different types of localization of iatrogenic perforations: furcal, lateral, and apical.

Discussion

Students at the Faculty of Dental Medicine in Sofia Medical University study a two-year preclinical course that starts in their second year of training. During this training, they perform endodontic treatment on extracted teeth: 5anterior teeth, 2 premolars, 4 molars. The clinical program lasts 2 years and starts in the fourth year. It takes 4 terms; 60 hours of lectures, and 5 hours of clinical exercises per week. Students treat patients with pulpitis and periodontitis of single and multi-rooted teeth. In the dental training clinic, each stage of treatment is observed and approved by experienced teachers, specialists in endodontics.

Little information is available in the literature regarding the frequency of student’s made perforations by groups of teeth and localization.

Smadi et al.9 report the greatest incidence of perforation in upper posterior teeth. Our study confirmed these results with more than 1/2 of perforations occurring in the maxilla (11  out of total affected teeth20). Tsesis et al.10found in their study something different: there were significantly more identified perforations in mandibular molar teeth than in any other location (p<0.01). Mandibular molars were 23.7%of all treated teeth and 54.31%of all perforations. The degree of curvature and configuration of mandibular molar root canals can cause difficulties during root canal treatment of these teeth.11,12,13The distal surface of the mesial canals of mandibular molars also has a concavity, which can also make the tooth more prone to iatrogenic perforations.14 Similar data was found from Kouzmanova in her thesis.5 According to Kouzmanova perforations, made by general dental practitioners in Bulgaria,  were most often registered in the lower molars - 42%, followed by upper molars, with almost twice lower incidence - 22%, and in the third place - the upper front teeth - 11%. The incidence of perforations in the lower jaw was higher (59%) than in the upper jaw (41%). Analyzing the data from the current study allows us to recognize the need to improve students’ theoretical knowledge of molar anatomy and their practical skills in the endodontic treatment of molars.

Our study found that students tend to make more apical perforations than any of the other types. Overinstrumentation at an incorrect working length through the anatomic apical foramen results in perforation and “blowing out” the apical foramen. Ledge formation and application of misdirected pressure can also to via falsa and eventually an apical perforation. An apical perforation also occurs when the clinician does not respect the apical anatomy and passes endodontic files too aggressively through the apical constriction. According to Kouzmanova 5 general practitioners in Bulgaria tend to make more perforations in the pulp chamber floor- 46.23%. The lateral root perforations consisted of 35.84%of all perforations and apical perforations were 7.54%.

Due to the students’ lack of clinical experience, most of the iatrogenic perforations we have found were apical. Balto et al.15like us found that from 550 endodontically treated by students cases 7%had apical perforations. 

A study16from the College of Dentistry, Taibah University, Saudi Arab are viewed retrospectively charts of 280 patients, treated by students between 2013 and 2016. The frequency of apical perforation was 9.2%; 7.7%of all lower premolars and 6.7%of upper incisors had apical perforation. So apical perforations are more likely to occur in anterior teeth.  Haji-Hassani et al.17 had similar results: from 1335 endodontically treated teeth, 18.2%had apical perforation and were overfilled. Khabbaz et al.4reported 32.6%of the canals had apical perforation.

The high number of apical perforations made us investigate the way students determined their working length. Last year students in 2016 had to determine their working length using both x-ray and apex location. 29 students shared 2 apex locators. Since then more apex locators were provided to last year students but still, our students tend to rely more on the x-ray method for determining working length. The current study allows us to establish the need to improve their training in using apex locators so there is less over instrumentation.

Conclusion

The greatest incidence of perforation is in the upper posterior teeth. This study allows us to establish the need to improve students’ practical skills in the endodontic treatment of molars and in using apex locators so apical perforations are mostly avoided. The training program must be changed accordingly and subsequently to improve the health care provided by these future clinicians.

Acknowledgements

The authors acknowledge the immense help received from the scholars whose articles are cited and included in references of this manuscript. The authors are also grateful to authors/editors/publishers of all those articles, journals and books from where the literature for this article has been reviewed and discussed.

Conflicts of interest

No potential conflict of interest was reported by the authors.

Funding

This work was unfunded.

Ethical approval

Received from The Ethics Commission for Research at the Medical University of Sofia (KENIUMUS).

Authors’ contribution

Dimitrova Ivanka – concept design, manuscript review

Angelova Liliya – data acquisition and analysis, literature search, manuscript preparation

Hristov Krasimir – literature search, data acquisition, statistical analysis

 

References:

1. Hegde M, Varghese L, Malhotra S. Tooth Root Perforation Repair-A Review. Oral Health Dent Manag 2017;16(2):1-4

2. Tsesis I, Fuss Z. Diagnosis and treatment of accidental root perforations. Endod Topics 2006;13:95–107.

3.  De Moor R, Hülsmann M, Kirkevang LL,Tanalp J, Whitworthet. Undergraduate curriculum guidelines for endodontology. Int Endod J 2013;46(12):1105–14.

4. Khabbaz M, Protogerou E, Douka E. Radiographic quality of root fillings performed by undergraduate students. Int Endod J2010;43(6):499–508.

5. Kouzmanova Y. Endodontic perforations – sealing ability of calcium silicate types of cement and prevention [dissertation]. Sofia: Medical Univ.; 2019.

6. McCabe PS. Avoiding perforations in endodontics. J Ir Dent Assoc 2006;52(3):139-48  

7. Vangelov L, Stamatova I, Vladimirov S. Radiographic evaluation of the periapical status of endodontically treated teeth. Dental Medicina2008;90:17-23.

8. EleftheriadisGI, Lambrianidis TP. Technical quality of root canal treatment and detection of iatrogenic errors in an undergraduate dental clinic. Int Endod J 2005;38(10):725–34.

9. Smadi L, Hammad  M, El-Ma'aita A. Evaluation of the quality of root canal treatments performed by dental undergraduates: is there a need to review preclinical endodontic courses? Am Educ Res J 2015;3(12):1554-8.

10. Tsesis I, Rosenberg E, Faivishevsky V, Kfir A, Katz M, Rosen E. Prevalence and associated periodontal status of teeth with root perforation: aretrospective study of 2,002 patients’ medical records. J Endod 2010;36(5):797–800.

11. Cimilli H, Mumcu G, Cimilli T, Kartal N, Wasselink P. The correlation between root canal patterns and interorificial distance in mandibular first molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:e16–21.

12. Kartal N, Cimilli HK. The degrees and configurations of mesial canal curvatures of mandibular first molars. J Endod1997;23(6):358–62.

13. Ruddle C. Cleaning and shaping the root canal system. In: Cohen SBR, ed. Pathways of the Pulp. 8th ed. St. Louis, MO: C.V. Mosby; 2002. p. 231–93.

14. Garcia Filho PF, Letra A, Menezes R, Carmo AM. Danger zone in mandibular molars before instrumentation: an in vitro study. J Appl Oral Sci2003;11(4):324-6.

15. Balto H, Al Khalifah Sh, Al Mugairin S, Al Deeb M, Al-Madi E. Technical quality of root fillings performed by undergraduate students in Saudi Arabia. Int Endod J 2010;43(4):292-300.

16. AlRahabi MK. Evaluation of complications of root canal treatment performed by undergraduate dental students. Libyan J Med2017;12(1):1345582.

17. Haji-Hassani N, Bakhshi M, Shahabi S. Frequency of iatrogenic errors through root canal treatment procedure in 1335 charts of dental patients. J Int Oral Health 2015;7(Suppl 1):14?7.

Announcements

Dr. Pramod Kumar Manjhi joined Editor-in-Chief since July 2021 onwards

COPE guidelines for Reviewers

SCOPUS indexing: 2014, 2019 to 2021


Awards, Research and Publication incentive Schemes by IJCRR

Best Article Award: 

One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

Women Researcher Award:

This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

Emerging Researcher Award:

‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


Best Article Award

A Study by Humaira Tahir et al. entitled "Comparison of First Analgesic Demand after Major Surgeries of Obstetrics and Gynecology between Pre-Emptive Versus Intra-Operative Groups by Using Intravenous Paracetamol: A Cross-Sectional Study" is awarded Best Article for Vol 14 issue 14
A Study by Monica K. entitled "Risk Predictors for Lymphoma Development in Sjogren Syndrome - A Systematic Review" is awarded Best Article for Vol 14 issue 13
A Study by Mokhtar M Sh et al. entitled "Prevalence of Hospital Mortality of Critically Ill Elderly Patients" is awarded Best Article for Vol 14 issue 12
A Study by Vidya S. Bhat et al. entitled "Effect of an Indigenous Cleanser on the Microbial Biofilm on Acrylic Denture Base - A Pilot Study" is awarded Best Article for Vol 14 issue 11
A Study by Pandya S. et al. entitled "Acute and 28-Day Repeated Dose Subacute Toxicological Evaluation of Coroprotect Tablet in Rodents" is awarded Best Article for Vol 14 issue 10
A Study by Muhammad Zaki et al. entitled "Effect of Hemoglobin Level on the Severity of Acute Bronchiolitis in Children: A Case-Control Study" is awarded Best Article for Vol 14 issue 09
A Study by Vinita S & Ayushi S entitled "Role of Colour Doppler and Transvaginal Sonography for diagnosis of endometrial pathology in women presenting with Abnormal Uterine Bleeding" is awarded Best Article for Vol 14 issue 08
A Study by Prabhu A et al. entitled "Awareness of Common Eye Conditions among the ASHA (Accredited Social Health Activist) Workers in the Rural Communities of Udupi District- A Pilot Study" is awarded Best Article for Vol 14 issue 07
A Study by Divya MP et al. entitled "Non-Echoplanar Diffusion-Weighted Imaging and 3D Fiesta Magnetic Resonance Imaging Sequences with High Resolution Computed Tomography Temporal Bone in Assessment and Predicting the Outcome of Chronic Suppurative Otitis Media with Cholesteatoma" is awarded Best Article for Vol 14 issue 06
A Study by Zahoor Illahi Soomro et al. entitled "Functional Outcomes of Fracture Distal Radius after Fixation with Two Different Plates: A Retrospective Comparative Study" is awarded Best Article for Vol 14 issue 05
A Study by Ajai KG & Athira KN entitled "Patients’ Gratification Towards Service Delivery Among Government Hospitals with Particular Orientation Towards Primary Health Centres" is awarded Best Article for Vol 14 issue 04
A Study by Mbungu Mulaila AP et al. entitled "Ovarian Pregnancy in Kindu City, D.R. Congo - A Case Report" is awarded Best Article for Vol 14 issue 03
A Study by Maryam MJ et al. entitled "Evaluation Serum Chemerin and Visfatin Levels with Rheumatoid Arthritis: Possible Diagnostic Biomarkers" is awarded Best Article for Vol 14 issue 02
A Study by Shanthan KR et al. entitled "Comparison of Ultrasound Guided Versus Nerve Stimulator Guided Technique of Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries" is awarded Best Article for Vol 14 issue 01
A Study by Amol Sanap et al. entitled "The Outcome of Coxofemoral Bypass Using Cemented Bipolar Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fracture of Femur in a Rural Setup" is awarded Best Article Award of Vol 13 issue 24
A Study by Manoj KP et al. entitled "A Randomized Comparative Clinical Trial to Know the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block Against Multimodal Analgesia for Postoperative Analgesia Following Caesarean Section" is awarded Best Article Award of Vol 13 issue 23
A Study by Karimova II et al. entitled "Changes in the Activity of Intestinal Carbohydrases in Alloxan-Induced Diabetic Rats and Their Correction with Prenalon" is awarded Best Article of Vol 13 issue 22
A Study by Ashish B Roge et al. entitled "Development, Validation of RP-HPLC Method and GC MS Analysis of Desloratadine HCL and It’s Degradation Products" is awarded Best Article of Vol 13 issue 21
A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


RSS feed

Indexed and Abstracted in


Antiplagiarism Policy: IJCRR strongly condemn and discourage practice of plagiarism. All received manuscripts have to pass through "Plagiarism Detection Software" test before Toto Macau forwarding for peer review. We consider "Plagiarism is a crime"

IJCRR Code of Conduct: To achieve a high standard of publication, we adopt Good Publishing Practices (updated in 2022) which are inspired by guidelines provided by Committee on Publication Ethics (COPE), Open Access Scholarly Publishers Association (OASPA) and International Committee of Medical Journal Editors (ICMJE)

Disclaimer: International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal.



ABOUT US

International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal

Contact

148, IMSR Building, Ayurvedic Layout,
        Near NIT Complex, Sakkardara,
        Nagpur-24, Maharashtra State, India

editor@ijcrr.com

editor.ijcrr@gmail.com


Copyright © 2023 IJCRR. Specialized online journals by ubijournal .Website by Ubitech solutions