Being stressed is often given a badge of honor, but it can really mess with your mental and physical health, Where our life is get-ting more and more complicated, and as our lifestyles get busier and busier. Being under no relieve off stress can start to feel nor-mal.
There are several telltale signs pointing out that you are under too much stress. Being stressed most of your time will leave its effects on your mental and physical health.

Background: Temporomandibular joint (TMJ) ankylosis is not uncommon in Ethiopia. These patients, usually of lower socioeconomic status, are seen at varied intervals after the onset of the disease, which is usually early in childhood. Ankylosis of the TMJ is one of the most serious complications of condylar fracture. Asymmetrical mandibular growth has been observed in about 25% of children who have sustained condylar fractures. The management of TMJ ankylosis has always been difficult and frustrating, particularly when dealing with long-standing or recurrent cases, or if the case is complicated by deformities of the jaw bones. Extreme poverty was the main predisposing factor. There is a need for a concerted effort among healthcare providers, policy makers, and the world in general to eradicate poverty and improve healthcare to limit the incidence of ankylosis of the TMJ.
Objective: To assess the Incidence, Clinical presentation and surgical managements of Temporomandibular joint Ankylosis.
Methods:A retrospective cross-sectional study was conducted from April to October 2016 G.C. The required minimum sample size for the study was calculated by using the formula and found to be 384.16. Convenient sampling method utilized as sampling technique.
Result:A total 1856 new patients were seen at the department of Oral and maxillofacial surgery in SPHMMC from 2011 till 2015. Sample size for the study was calculated by using the formula and found to be 384.16. From this 58 patients were diagnosed with TMJa. The incidence rate of TMJa out of the total maxillofacial region diseases were 15.1% and the most frequent age group was 10 – 19 years. Trauma was the commonest aetiology (93.1%). Various types (bony (87.9%), fibrous (5.17%), fibro osseous (6.89%). Gap arthroplasty showed most utilized surgical management account (70.68%).
Conclusion:The main causes of ankylosis of the temporomandibular joint are trauma and infection. Ankylosis of the TMJ is distressing because it compromises function and the facial deformity has an adverse psychological effect on the child. There is a need for concerted effort among healthcare providers to institute preventive measures including adequate treatment of infections and early treatment of maxillofacial injuries.
Keywords:Temporomandibular Joint Ankylosis; Trauma; Infection; Gap Arthroplasty; Interpostional Arthroplasty.

Bacteria and fungi have the ability to adhere to abiotic surfaces and form a structured communities called biofilms. Microbial biofilms play an important role in the society, biofilms can thrive on virtually any surface, leading to various detrimental effects, in addition to its impact on healthcare contributing to hospital-acquired infections and infection of implantable medical devices. In this article, the implications of biofilm infection will be highlighted in particular reference to dental implants.
Keywords: Biofilms; Implant-Associated Infection; Peri-Implantitis