UNIVERSITY JOURNAL MAXILLOFACIAL SURGERY AND ORAL SCIENCES

Training in Oral and Maxillofacial Surgery

2022-01-18T07:12:09+00:00

Covid -19 pandemic has affected every sphere of the life. So Oral and Maxillofacial Surgery too could not be spared. The pandemic encouraged us to think about modification in the conventional teaching and learning techniques and hopes appeared which helped us to move and progress without affecting outcome , or , infact with better productivity.

A study to evaluate the biometric relationship between inter alar width and the mesio distal dimensions of maxillary anterior teeth.

2021-11-09T15:01:25+00:00

ABSTRACT:

Objective: To evaluate biometric relationship between inter alae width and the mesio distal dimensions of maxillary anterior teeth.

Methods: A randomly selected 150 subjects comprising equal number of males and females were evaluated for the nasal and odontometric measurements were obtained with the help of a sliding digital stainless-steel Vernier caliper. The tests used were Oneway ANOVA, correlation and linear regression analysis. The confidence level for this study was 95% and the p-value for statistical significance was set at less than 0.05.

Result: Males had a greater mean inter alar width compared to females. It showed a highly statistically significant Gender Dimorphism for inter alar width . Also Males had a statistically significantly greater mean Combined Mesio Distal Width of Maxillary Anterior Teeth compared to females. The Pearson correlation test showed a weak negative correlation for male, weak positive correlation for female and a positive but weak correlation for the combined data between inter alar width and combined mesiodistal width of maxillary anterior teeth.

Conclusion: The study result could be used as a base data for further studies with larger sample size.

Key words: Edentulous, Esthetics, Denture, Nasal Width , Odontometry.

“Is 4% articaine better than 2% lignocaine during bilateral impacted maxillary canine extraction- a split mouth randomised clinical trial”

2021-10-01T14:11:16+00:00

Aims and Objective: To compare the efficacy of 4% articaine hydrochloride and 2% lignocaine hydrochloride in the impacted bilateral maxillary canine extraction.

Materials and Methods: In this split mouth randomised clinical trial study was carried out in 10 patients who underwent extraction of impacted maxillary canine. Every patients received 0.6ml – 1ml of 4% articaine at experimental side and control side 2% lignocaine HCl 0.8-1.5 ml buccal and palatal infiltration both. All the parameters, drug volume, duration of anesthesia, pain score was noted and statistically compared.

Results:

The mean administred volume of articaine group ranged from 0.8 ± 0.13 ml while in lignocaine group it ranged 1.53 ± 0.21 ml (buccal+ palatal administration). The mean drug volume used of lignocaine group was comparatively higher than articaine group. Duration of anesthesia depending on subjective lip numbness. In articaine group mean value was 60.08 ± 7.90 minutes while in lignocaine group it ranged from mean 48.21± 8.75. It was higher in articaine group. Pain scale (VAS) in articaine on buccal infiltration ranged from mean value of 0.9 ± 0.62 while in lignocaine group mean was 3.04± 1.00. Pain score was found higher in lignocaine group. On palatal infiltration in lignocaine group mean value ranged from 4.04±1.00, while in articaine group there was no need of palatal infiltration.

Conclusion: This study provided clear evidence that single buccal infiltrations of 4% articaine was better than 2% lignocaine in terms of drug volume, onset of ansthesia, duration of anesthesia, pain rating. Like other anesthetics, it is really safe and even more effectice. It surpasses the requirement of the additional palatal anesthesia.

Impacted Mandibular Third Molar Lingually Based Flap Design: A Case Report

2021-10-21T07:48:05+00:00

ABSTRACT

Mandibular third molar is considered the most common impacted tooth in the oral cavity. Removal of the impacted lower wisdom became a routine surgical procedure in the dental office. Because of The increased number of surgical removals of impacted mandibular third molar a variety of complications can occur postoperatively. One of these complications is flap separation and exposure of the alveolar bone leading to increase the incidence of infection and postoperative pain. This problem encouraged the surgeons to create different flap designs to improve the healing process of the soft tissue. In my article I discuss a case report showing surgical removal of impacted lower third molar using uncommon flap design in order to enhance the proper healing of the soft tissue in the surgical site.

Aenomatoid odontogenic tumour of mandible- Report of a rare case

2021-11-18T07:02:11+00:00

Adenomatoid odontogenic tumor is a benign neoplasm comprising of 3% of all the odontogenic tumors. It is seen most commonly in young patients with female predilection.This tumor is more common in maxillary anterior region and commonly associated with unerupted canine and it usually surrounds the crown of the unerupted tooth.This lesion is slow growing and has very low recurrence rate.Adenomatoid odontogenic tumor clinically resembles calcifying odontogenic cyst, adenomatoid odontogenic tumor,unicystic (mural) ameloblastomas,ameloblastomas, ameloblastic fibromas,keratocystic odontogenic tumors,calcifying epithelial odontogenic tumors,ameloblastic fibro-odontomas and odontomas. dentigerous cyst,ameloblastoma,CEOT,COC.Hence histopathological examination will aid in the final diagnosis of this lesion.Here reported a rare case of Adenomatoid Odontogenic Tumor in mandible in 15 year old female patient associated with the impacted mandibular first premolar

Musca Domestica Infestation in a Patient with Cerebral Palsy: A Case Report and review of literature

2021-12-20T07:30:05+00:00

Musca domestica is a common housefly and its infestation in human beings is characterized as accidental myiasis. Myiasis in oral cavity is not an uncommon condition and can present as worm, bugs or maggot in the mouth. Although it can be treated effectively but may cause serious complications in oro- dental complex if left untreated. The present case reports oral myaisis in 13 year old girl child with cerebral palsy. The condition was treated by manual expulsion of maggots after application of turpentine oil, which was followed by oral administration of ivermectin and broad spectrum antibiotics.

Free Dermal Fat As An Interpositional Graft In Surgical Management of Oral Submucous Fibrosis : Report of Two Cases.

2021-11-08T13:52:47+00:00

Although diverse treatment options are available, Khanna & Andrade’s Group III and above patients of Oral Submucous Fibrosis are usually indicated for surgical treatment besides other treatment that clinicians may deem fit. This article presents the surgical protocol followed at our department for Oral Submucous Fibrosis, two cases of Oral Submucous Fibrosis of Khanna & Andrade’s Group III & above treated at our department surgically, a discussion of our surgical protocol and a discussion of our results for these two cases.

Reduction of unilateral high condylar fracture with a gunning splint- case report

2021-09-24T08:20:18+00:00

Anatomic reduction of condylar fracture of an atrophic mandible is a challenging scenario due to reduced blood supply and absence of teeth in the mandible. Fracture fixation by closed reduction is the desired treatment plan considering the age and medical condition. For this condition, closed reduction can be achieved by providing gunning splint in mandible which functions as a bite block, enabling maxillomandibular fixation and reduction of fractured segments. In this case report we have highlighted the usage of gunning splint in the mandible for closed reduction of high condylar fracture thus improving prognosis of the patient.

Penetrating Trauma Due to Head of A Toothbrush : A Case Report

2021-09-04T04:42:45+00:00

ABSTRACT

We present a case of 39 yr old female with penetrating trauma caused by a toothbrush due to fall in bathroom while brushing. Initial examination revealed the head of toothbrush penetrating into the right submasseteric space which was palpable in retromandibular region and the the handle was seen protruding out of the oral cavity. The head was removed safely by manual manipulation.

Zygomatic maxillary complex fracture- A traumatic cause of trismus treated with coronoidotomy

2022-01-20T07:43:58+00:00

Post traumatic restriction of mouth opening after fractured mandible or midface is a common complication. Though various conservative management are being practiced, treating the cause for the hindrance of mouth opening is very important for a sustained long term outcome. Here, we are reporting a case of zygomatic maxillary complex fracture with the chief complaint of reduced mouth opening. The patient was treated by intra-oral coronoidotomy. Mouth opening increased from 9 mm to 36.5mm. Hence coronoidotomy or coronoidectomy should be considered during management of trismus due to various reasons like Oral sub mucous fibrosis, coronoid hyperplasia and zygomatic ankylosis with the mandible.