Background: Interstitial lung disease (ILD) are group of pulmonary disorders characterized by inflammation and fibrosis of gas exchanging portion of the lung and diffuse abnormalities on lung radiograph. Conventional computerized tomography plays a limited role in evaluation of interstitial lung disease due to its inability to demonstrate fine parenchymal details. High Resolution Computed Tomography (HRCT) is currently the most accurate non invasive modality for evaluating lung- parenchyma. So, the purpose of the study was to assess high resolution computed tomography in the diagnosis of interstitial lung disease.Methods: 50 patients with clinical suspicion of interstitial lung disease who were referred to Department of Radio-Diagnosis and Imaging for diagnosis and evaluation were subjected to both conventional radiography and HRCT.Results: Majority of the cases i.e. 9 (18%) had honeycombing, 8 (16%) cases had crazy paving pattern and mosaic attenuation, 7 (14%) cases had miliary mottling, 6 (12%) cases had normal, 5 (10%) cases had fibrosis and ground glass haze, 2 (4%) cases had ground glass haze with Intralobular reticular opacities and 2 (4%), subpleural nodular opacities and 2 (4%) cases had B/lHilar lymphadenopathy.Conclusions: Ultimately all patients with clinical suspicion of ILDs should benefit from an HRCT scan of the thorax. High resolution computed tomography (HRCT) chest scans are essential to the diagnostic work-up since each ILD form is characterized by a specific pattern of abnormalities and a confident diagnosis can often be arrived at by HRCT alone or in correlation with the clinical symptoms. When HRCT findings are characteristic in appropriate clinical settings, HRCT may even obviate the need for a lung biopsy.
PURPOSE: To compare the marginal fit of all metal, porcelain fused to metal and all ceramic crowns fabricated using different materials and techniques commercially available. MATERIALS AND METHODS: 80 freshly extracted human mandibular first premolars were divided into 8 groups of 10 each which received Nickel-Chromium (Ni-Cr) all metal (AM) crowns, Cobalt-Chromium (Co-Cr) AM crowns, Ni-Cr three-quarter crowns, Co-Cr three quarter crowns, porcelain fused to metal (PFM) crowns with Ni-Cr copings, PFM crowns with Co-Cr copings, pressed all ceramic (AC) crowns and CAD/CAM fabricated AC crowns respectively. Crowns were cemented and specimen were sectioned buccolingually. The marginal gap was evaluated under a stereomicroscope. Lesser marginal gap indicated a better marginal fit. RESULTS: The mean marginal gap was maximum for Group 8 (222.3 μm) and least for Group 1 (85.5 μm). The mean marginal gaps for ‘all metal crowns’ and ‘metal ceramic crowns’ showed significantly lesser marginal gaps (p<0.05) for Ni-Cr Groups than Co-Cr Groups. When only ‘all ceramic crowns’ were compared, significantly lesser marginal gap was found for pressed AC crowns (148.6 μm) than CAD/CAM fabricated AC crowns (222.3 μm). CONCLUSION: Marginal fit of AM crowns were significantly better than PFM crowns and AC crowns. Ni-Cr group always showed better marginal fit than Co-Cr group. A better marginal fit of pressed AC crowns was seen than CAD/CAM fabricated AC crowns. Chamfer finish line showed a significantly better marginal fit than shoulder finish line.
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