UNIVERSITY JOURNAL MAXILLOFACIAL SURGERY AND ORAL SCIENCES

To Assess the Efficacy of Antiseptic Triclosan Impregnated Polygalactin Suture Materials Versus Chlorhexidine Impregnated Polygalactin Suture Materials in Minor Oral Surgical Procedure

2022-05-12T09:40:07+00:00

Aims and Objective: To assess the efficacy of antiseptic triclosan impregnated polygalactin suture materials versus chlorhexidine impregnated polygalactin suture materials in minor oral surgical procedure.

Material and Methods: This prospective study included 40 patients who visited the Department of Oral and Maxillofacial Surgery, NIMS Dental College, Jaipur for minor oral surgical procedure under local anaesthesia. Split mouth study was designed and implemented and the patients were randomly assigned and were treated with (3-0) antimicrobial triclosan impregnated polyglactin sutures and with (3–0) antimicrobial chlorhexidine diacetate-impregnated polyglactin sutures.

Results: In general, triclosan impregnated polygalactin suture yielded a lower count of the micro flora, low post-operative pain and lesser incidence of trismus as compared to the other group.

Conclusion: This study concluded that both triclosan and chlorhexidine impregnated polyglactin sutures have a significant ability in preventing surgical site infection. However, triclosan sutures showed reduced infection rates, pain and trismus as compared to Chlorhexidine sutures in healthy patients undergoing surgical removal of third molar under local anesthesia. Therefore, their use in various intraoral procedures for effective control of inflammatory and infectious conditions should be highlighted.

Ortho-Surgical Management of Impacted Maxillary Canine: A Case Report

2022-04-01T14:46:37+00:00

Orthodontic management of impacted maxillary canines can be very complex and requires a carefully planned interdisciplinary approach. The proper localization, surgical exposure technique, diagnosis and treatment planning of the impacted tooth plays a crucial role in determining the feasibility of, as well as the proper access for the surgical approach and the proper direction for the application of orthodontic forces.

This Case report describes the surgical and orthodontic management of a patient with a labially impacted permanent maxillary canine. Following surgical exposure, orthodontic traction was applied to reposition the canine with resultant proper functioning, excellent esthetics, and good periodontal health.

Conservative Management of Glandular Odontogenic Cyst using Carnoy’s Solution: A Case Report

2022-05-31T09:42:47+00:00

Glandular odontogenic cyst (GOC) is a well described clinicopathologic entity but with a relatively rare occurrence. It is a cyst having an unpredictable, potentially aggressive behavior, and has the propensity to grow to a large size. Due to high recurrence rate following conservative management, an aggressive mode of treatment involving resection of the involved bone is advocated. To prevent bony/facial defects in large cysts, approach is required to preserve normal structure and also reduce chances of recurrence. The present case report describes GOC in a 28 Yr old male patient with intra-oral swelling that was treated by enucleation and chemical cauterization of the lesion using Carnoy’s Solution. Long term follow up is essential as recurrence rate is high and to evaluate efficiency of this procedure.

Ameloblastoma: diagnosis, conservative management and outcome

2022-04-11T12:31:49+00:00

Ameloblastoma is epithelial odontogenic tumour known to be a benign lesion that is locally invasive, compromising total of 1% among all the tumours and cysts of jaws. It is most frequently found in molar ramus region of mandible. In this report we present a case of a large lesion which was diagnosed to be as ameloblastoma of ramus of mandible, which presented with typical features describing its diagnosis, conservative management and outcome

Suture Material: A comprehensive review and recent update

2022-06-10T17:18:32+00:00

Since, the pre-historic time, suturing has been an end phase of any surgical procedure, allowing the re-approximation of wound edges followed by stabilization of the clot, promoting hemostasis and further avoiding the alimentary residues on the incision line resulting in primary healing. An ideal suture material resists the displacement forces arising from muscular insertions, functional movements, and external agents destabilizing or causing the surgical wound dehiscence. The aim of this article is to give a comprehensive review of the suture material.

A clinical Randomized prospective comparative study on efficacy of Locking plating system versus Standard Mini Plating System for treatment of Mandibular Fracture

2022-10-17T07:27:21+00:00

Introduction - The mandible, even after being the most important and strongest facial bone, due to its position on the face and its prominence, is usually broken once facial trauma is sustained. Thus, there's a widely accepted agreement relating to the necessity for surgical reduction and fixation of mandibular fractures. A long-standing problem in miniplate osteosynthesis has been the loosening of one or more screws during the convalescent period following miniplate osteosynthesis due to transmission of pressure to the underlying bone leading to loss of fracture stability and fixation failure. Aim of study to evaluate the efficacy of Locking Plating System and to compare between Locking Plating System and Standard Plating System for osteosynthesis in maxillofacial fractures. Material And Method – 40 Clinical And Radiographically confirmed cases Mandibular Fracture were selected who met the inclusive and exclusive criteria. Post Operatively Pain, Occlusion, Masticatory Ability, Facial Symmetry, Need and/or Duration of Inter-Maxillary Fixation (IMF) were noted and compared. Statistically analysis was done and result formulated. Result – statistically significant result was seen in group A (Locking plating system) in terms of immobilization, fixation and stabilization of fractures. Conclusion- Locking Plating shows promising features but long term follow up with larger sample size study should be done

Management of Temporomandibular Joint Ankylosis – Our Experience

2022-06-01T03:29:22+00:00

In this retrospective study, we discuss our experience in the management of temporomandibular joint (TMJ) ankylosis cases. The goal of management is to provide adequate mouth opening with restoration of function, growth and prevention of recurrence & worsening of facial deformity. TMJ ankylosis presents a challenge due to its proximity to vital structures which could lead to intraoperative and/or postoperative complications. Further, the chances of reankylosis have to be reduced with the use of interpositional graft and aggressive physiotherapy. The operative protocol we followed for TMJ ankylosis was aggressive resection of ankylotic mass, bilateral coronoidectomy followed by temporalis fascia as interpositional graft material. Active physiotherapy was initiated in the early postoperative period. The results were highly satisfactory with no incidence of reankylosis in the follow up period of up to 4 years.