Edentulism, a common problem can occur either as a congenital defect or acquired later due to den... more Edentulism, a common problem can occur either as a congenital defect or acquired later due to dental caries, periodontitis, as a consequence of aging, maxillofacial trauma or post-ablation in tumor resections. The rehabilitation of the missing teeth can be done using dental implants. To overcome the deficiency of available bone, processes like sinus augmentation with substituted bone graft and Le Fort I osteotomy with interpositional bone graft have been described in the literature. In order to overcome the associated limitations with these procedures, implants were designed that can be placed in specific anatomical areas like zygoma. This study aims to compare two different types of surgical approaches (Intrasinus vs Extrasinus) for the placement of zygomatic implants to treat atrophic maxilla. The placement of zygomatic implant through both extrasinus and intrasinus approaches were evaluated on the basis of different parameters and it was observed that postoperative pain and swelling was significantly found in intra sinus approach as compared to extra sinus approach. However, in the intranasal approach, poor patient compliance or low satisfaction rate was observed as compared to extra sinus approach. On the basis of the results of the study and post operative evaluation based on various criteria, it was concluded that extra sinus approach has got an edge over intra sinus approach.
Oromandibular dystonia (OMD) can be described as a focal dystonia which is characterized by repet... more Oromandibular dystonia (OMD) can be described as a focal dystonia which is characterized by repetitive or sustained contraction of various muscles of mastication, tongue, or face resulting in involuntary jaw opening, closing, deflection, retrusion, or a combination of these. Various abnormal movements like tremor, tics, Parkinsonism, chorea, and dystonia may be seen in patients with traumatic brain injury. Tremor and dystonia are the most common movement disorder seen in such cases. The purpose of this presentation is to report a case of posttraumatic OMD in a head injury patient successfully managed by the use of Botulinum Toxin Type-A.
The treatment of maxillofacial fractures can be done either by closed reduction or open reduction... more The treatment of maxillofacial fractures can be done either by closed reduction or open reduction techniques. Pediatric fractures are usually managed by the relatively conservative closed method of treatment. Open reduction and internal fixation (ORIF) is usually reserved for severely displaced fractures difficult to manage conservatively. The ORIF using miniplates are technically challenging and have a negative impact on growth because of surgical trauma. The purpose of this article is to present a case successfully managed by the skeletal suspension technique.
In the modern era, the management of fractures is often done by open reduction and internal fixat... more In the modern era, the management of fractures is often done by open reduction and internal fixation. The open reduction essentially involves the use of incisions for the exposure of fractured segments followed by reduction and internal fixation. It is not uncommon to find deep lacerations in a trauma setting. These lacerations can be used to one’s advantage (boon) for fracture management and can avoid the need for separate incisions. The purpose of this case report is to present the management of zygomatic complex fracture by utilizing deep lacerations.
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2022
INTRODUCTION:There are no evidence base data recommended that every plate should be remove just a... more INTRODUCTION:There are no evidence base data recommended that every plate should be remove just after bone healing but the study reported 8,9,10 that with many reasons the plate removal cannot be avoid and its removal range varies from 7% to 33.8% PURPOSE: The purpose of this study was to observe the plate removal incidence at our centre and to nd out that if this is within an acceptable range? METHODS:We observed the operation theatre record and recorded the incidence of plate xation and plate removal within 1 year period. RESULTS: We found that 261 trauma patients operated by open reduction and xation by using miniplates. In which only 5 patients were female. In the same way we also observed that 56 (21.4 %) male and 3 (1.14 %) female and total 59 (22.6 %) patients and 86 sites operated for plate removal in the same time period. CONCLUSION: Although removal rate at our centre is within acceptable range, even then we recommend adherent to strict infection control program to furt...
Reconstruction of maxillofacial defects is a big challenge for an oral and maxillofacial surgeon.... more Reconstruction of maxillofacial defects is a big challenge for an oral and maxillofacial surgeon. The defects of the floor of oral cavity are difficult to treat in particular. Various techniques are being used to treat these defects with variable success. The purpose of this case report is to present the use of a lingual mucoperiosteal flap for the closure of a defect of the oral cavity.
Cavernous sinus thrombosis or thrombophlebitis (CST) is a major life threatening complication of ... more Cavernous sinus thrombosis or thrombophlebitis (CST) is a major life threatening complication of orofacial infections [1]. We presented a case of cavernous sinus thrombosis presented with typical features of the condition. The diagnosis was based on case history and clinical presentation. The management of patient includes supportive therapy along with surgical management. Aggressive management is advocated to treat this life threatening condition.
Objectives: A randomized prospective double-blind study was conducted to determine the efficacy o... more Objectives: A randomized prospective double-blind study was conducted to determine the efficacy of sub-mucosal local infiltration vs. intravenous dexamethasone in reducing postoperative pain, swelling and trismus after surgical removal of impacted mandibular third molars. Materials and Methods: Forty five patients were included in the study and were randomly divided into three groups. Each group consisted of 15 patients for which the first and second groups were given 8 mg of dexamethasone intrlesionally & intravenously respectively, at 30 minutes prior to surgery; the third group served as control. Duration of facial swelling was evaluated subjectively by the patients themselves. Severity of postoperative pain was quantified by counting the number of analgesics taken by the patients during and after surgery (six subsequent days). Postoperative trismus was determined by measuring the maximum incisal opening before surgery and on the seventh day. Results: Results showed that duration of postoperative edema was almost the same in the three test groups. During surgery, the intravenous dexamethasone group showed a significantly lesser pain than the other two groups; the intralesional dexamethasone group showed less marked pain than the control group. Additionally, patients who had taken steroids had a marked increase in the incisal opening postoperatively over the control group. Trismus was significantly reduced in the methylprednisolone group as compared to the dexamethasone group. Conclusion: It is concluded that both preoperative local infiltration and intravenous administration of dexamethasone significantly reduced postoperative pain and trismus after surgical removal of mandibular third molars. An intravenous dexamethasone is more effective in reducing postoperative inflammatory sequelae than its intralesional route.
Introduction: Trigeminal neuralgia (TN) is an uncommon disorder seen in dental and neurologic pra... more Introduction: Trigeminal neuralgia (TN) is an uncommon disorder seen in dental and neurologic practice, which presents with brief lancinating pain in the face, in the area distributed by the trigeminal nerve. The wide ranges of treatments currently used for TN are ample evidence that there is no simple answer to how it should be managed. Purpose: In this study, we want to evaluate, if repeated peripheral alcohol injection is an effective treatment of TN patients. Material and Methods: Retrospective data analysis of patients treated with peripheral alcohol injections from November 2011 to July 2017 were conducted. We selected the patients who reported at least three times for alcohol injection and duration of pain relief recorded as reported by patients. Results: Effects of 96% absolute alcohol injection alcohol injection ranging from 13 to 15 months pain relief, but in second or third time, this duration was decreased to 11–12 months, whereas no much significant complication were observed. Conclusion: Even single time neurectomy is not permanent cure, so patients choose less invasive option such as peripheral alcohol injections in repeated use instead of a surgical option.
The clinical replacement of lost natural teeth by osseointegrated implants has represented one of... more The clinical replacement of lost natural teeth by osseointegrated implants has represented one of the most significant advances in restorative dentistry. Since their introduction in the 1970s, endosseous oral implants have become an integral part of reconstructive dentistry. Initially, implant therapy was predominantly intended for the fully edentulous patient. In recent years, however, the partially dentate patient has also become a candidate for implant placement. In such patient, dental implants are used to reconstruct the compromised dentition. This blend of teeth and implants is, in particular, critical in the periodontally susceptible patient in whom the submarginal biofilms may harbor putative periodontal pathogens which may also be involved in the processes associated with the resorption of the bony support for the implant.
Aspirin is one of the commonly used anti-platelet drugs in medical practice. The fear of excessiv... more Aspirin is one of the commonly used anti-platelet drugs in medical practice. The fear of excessive and uncontrolled intra-operative and post-operative bleeding prompts the medical practitioners to stop the aspirin before surgical procedures. However, the majority of recommendations to stop aspirin therapy were not from dental literature. The amount of blood loss depends on the invasiveness of the surgical procedure. No surgical interventions are alike and therefore strict guidelines to alter or stop these medications without considering the invasiveness of the surgical procedure is a gross mistake. The current recommendations and consensus are in favor of continuing aspirin therapy prior to dental extractions. The purpose of this article is to present the review of literature regarding safety of dental extraction procedure in patients on aspirin therapy.
Lasers have been used in dentistry for diagnostic and therapeutic purposes for more than 30 years... more Lasers have been used in dentistry for diagnostic and therapeutic purposes for more than 30 years, and are an indispensable instrument in any modern dental surgery. The use of lasers enables new treatment methods to be employed in order to meaningfully supplement traditional therapies. The purpose of this paper is to overview the use of laser as use widely. In this paper, we are summarized the role of laser in different oral and maxillofacial disease by review of literatures. Oral and maxillofacial surgery is a vast branch of dentistry which includes procedures ranging from simple extraction to pathologies of both the hard and soft-tissues. Based on extensive review of literature, certain conclusion can be made regarding the use of lasers.
Introduction: The ankylosis of temporomandibular Joint (TMJ) is challenging problem for both pati... more Introduction: The ankylosis of temporomandibular Joint (TMJ) is challenging problem for both patient and surgeon. A variety of techniques for treatment of TMJ ankylosis have been described in literature. There are three basic techniques are currently employed: gap arthroplasty, interpositional arthroplasty and joint reconstruction. However, no single method has produced uniformly successful results. Limited range of motion and reankylosis are most frequently reported complication. Aims and objectives: The purpose of this study was to evaluate and compare the two available techniques of gap arthroplasty to achieve maximum interincisal mouth opening for the treatment of ankylosis and the objective was to select postoperative regimen and better technique to minimize reankylosis. Materials and methods: Twenty patients with TMJ ankylosis were included in this study. The age of selected patients were in ranged from 5 to 25 years and divided in two groups. In group I patients, gap arthroplasty was performed and in group II patients, interpositional arthroplasty with temporalis facias flap was performed. Results: There is no significant difference observed in post operative mouth opening. In group I patients treated with gap arthroplasty the postoperative mean interincisal opening after 1 year followup was 30.60 mm and in group II mean interincisal opening after 1 year followup was 32.60 mm. Conclusion: From the result one can conclude that there is no significant difference between the patients treated with interpositional arthroplasty and gap arthroplasty. The overall outcome of the treatment depends on patient's cooperation, active physiotherapy and regular followup.
International Journal of Dental Science and Research, 2013
Aims: The fear of excessive bleeding prompts the physicians and treating surgeons to stop the asp... more Aims: The fear of excessive bleeding prompts the physicians and treating surgeons to stop the aspirin therapy prior to invasive surgical procedure. Although this decreases the risk of bleeding complications, but predispose the patient to risk of thromboembolic events. With this background in mind, this study was done to evaluate the effect of aspirin on incidence of bleeding complications. Methods: Patient on anti-platelet dose of aspirin requiring extraction of single tooth was enrolled in the study. These patients were divided into two groups with 30 patients in each group. Group 1: patients were on aspirin therapy (75e325 mg/day) who continued it during simple dental extraction and Group 2: patients stopped aspirin 7e10 days prior to procedure. Single tooth was extracted by simple intra-alveolar technique. Result: There was no post-operative bleeding complication in any group. Conclusion: Based on the result of the study. It can be concluded that there is no need to stop the antiplatelet dose of aspirin prior to simple tooth extraction.
The surgical removal of impacted mandibular third molar is associated with minor but expected com... more The surgical removal of impacted mandibular third molar is associated with minor but expected complications like pain, swelling, bruising and trismus. The lingual nerve damage sometimes occurs after the removal of mandibular third molar producing impaired sensation or permanent sensory loss. This complication is usually unexpected and unacceptable for the patients particularly if no prior warning has been given. [1] The incidence of lingual nerve injury may occur because of surgeon's inexperience, procedure methodology and certain specific factors such as raising and retracting a lingual mucoperiosteal flap with a Howarth periosteal. [2] Rood [3] (1983) reported an initial incidence of 6.6% lingual nerve injury, Blackburn and Bramley, [2] 11% and VonArx and Simpson (1997) reported 22%. The exact mechanism of lingual nerve damage during third molar surgery is controversial and amongst the most studies causes are lingual plate perforation and lingual flap trauma during ostectomy or tooth sectioning, usage of lingual flap retractor and supra-crestal incision because the nerve can be located in this region in some cases and
Giant cell granuloma is a non odontogenic benign and proliferative lesion. Although GCG is common... more Giant cell granuloma is a non odontogenic benign and proliferative lesion. Although GCG is common in mandible but also often seen in maxilla. We reported a series of case in which GCG were found in the maxilla. As surgical therapy is most commonly used therapy in central gaint cell granuloma but in several studies the results of surgical therapy have been evaluated and recurrence rates ranging from 11% to 49% have been reported. The size of the granuloma i.e tumor were appreciably big in size in some patients so treatment was planned with application of corticosteroid before surgical curettage to reduce the recurrence of surgical therapy and observed good result.
Journal of Oral Biology and Craniofacial Research, 2016
AIMS This study was set out to evaluate the relationship between the presence and absence of uner... more AIMS This study was set out to evaluate the relationship between the presence and absence of unerupted mandibular third molar and fracture of mandibular angle/condyle, and to analyse if prophylactic removal of symptom-free unerupted mandibular third molar is beneficial. METHODS Hundred patients of mandible fracture were selected randomly irrespective of age, sex, caste, creed and socio-economic status. Data were collected from the patients on the basis of history, clinical examination and radiographs for the following information: age, sex, aetiology of fracture, presence and status of the mandibular third molar and location of mandible fracture. RESULTS In group A (partially/completely unerupted mandibular 3rd molar), the incidence of angle and condylar fracture was 44.44% and 13.33%, respectively, whereas in group B (fully erupted/missing mandibular third molar), the incidence of angle fracture was 14.45% and the incidence of condylar fractures was 31.77%. CONCLUSION Practice of prophylactic removal of mandibular third molar and resultant strengthening of angle region should be reconsidered, as it increases the risk of fracture at condylar region which is difficult to treat and associated with more morbidity.
Edentulism, a common problem can occur either as a congenital defect or acquired later due to den... more Edentulism, a common problem can occur either as a congenital defect or acquired later due to dental caries, periodontitis, as a consequence of aging, maxillofacial trauma or post-ablation in tumor resections. The rehabilitation of the missing teeth can be done using dental implants. To overcome the deficiency of available bone, processes like sinus augmentation with substituted bone graft and Le Fort I osteotomy with interpositional bone graft have been described in the literature. In order to overcome the associated limitations with these procedures, implants were designed that can be placed in specific anatomical areas like zygoma. This study aims to compare two different types of surgical approaches (Intrasinus vs Extrasinus) for the placement of zygomatic implants to treat atrophic maxilla. The placement of zygomatic implant through both extrasinus and intrasinus approaches were evaluated on the basis of different parameters and it was observed that postoperative pain and swelling was significantly found in intra sinus approach as compared to extra sinus approach. However, in the intranasal approach, poor patient compliance or low satisfaction rate was observed as compared to extra sinus approach. On the basis of the results of the study and post operative evaluation based on various criteria, it was concluded that extra sinus approach has got an edge over intra sinus approach.
Oromandibular dystonia (OMD) can be described as a focal dystonia which is characterized by repet... more Oromandibular dystonia (OMD) can be described as a focal dystonia which is characterized by repetitive or sustained contraction of various muscles of mastication, tongue, or face resulting in involuntary jaw opening, closing, deflection, retrusion, or a combination of these. Various abnormal movements like tremor, tics, Parkinsonism, chorea, and dystonia may be seen in patients with traumatic brain injury. Tremor and dystonia are the most common movement disorder seen in such cases. The purpose of this presentation is to report a case of posttraumatic OMD in a head injury patient successfully managed by the use of Botulinum Toxin Type-A.
The treatment of maxillofacial fractures can be done either by closed reduction or open reduction... more The treatment of maxillofacial fractures can be done either by closed reduction or open reduction techniques. Pediatric fractures are usually managed by the relatively conservative closed method of treatment. Open reduction and internal fixation (ORIF) is usually reserved for severely displaced fractures difficult to manage conservatively. The ORIF using miniplates are technically challenging and have a negative impact on growth because of surgical trauma. The purpose of this article is to present a case successfully managed by the skeletal suspension technique.
In the modern era, the management of fractures is often done by open reduction and internal fixat... more In the modern era, the management of fractures is often done by open reduction and internal fixation. The open reduction essentially involves the use of incisions for the exposure of fractured segments followed by reduction and internal fixation. It is not uncommon to find deep lacerations in a trauma setting. These lacerations can be used to one’s advantage (boon) for fracture management and can avoid the need for separate incisions. The purpose of this case report is to present the management of zygomatic complex fracture by utilizing deep lacerations.
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2022
INTRODUCTION:There are no evidence base data recommended that every plate should be remove just a... more INTRODUCTION:There are no evidence base data recommended that every plate should be remove just after bone healing but the study reported 8,9,10 that with many reasons the plate removal cannot be avoid and its removal range varies from 7% to 33.8% PURPOSE: The purpose of this study was to observe the plate removal incidence at our centre and to nd out that if this is within an acceptable range? METHODS:We observed the operation theatre record and recorded the incidence of plate xation and plate removal within 1 year period. RESULTS: We found that 261 trauma patients operated by open reduction and xation by using miniplates. In which only 5 patients were female. In the same way we also observed that 56 (21.4 %) male and 3 (1.14 %) female and total 59 (22.6 %) patients and 86 sites operated for plate removal in the same time period. CONCLUSION: Although removal rate at our centre is within acceptable range, even then we recommend adherent to strict infection control program to furt...
Reconstruction of maxillofacial defects is a big challenge for an oral and maxillofacial surgeon.... more Reconstruction of maxillofacial defects is a big challenge for an oral and maxillofacial surgeon. The defects of the floor of oral cavity are difficult to treat in particular. Various techniques are being used to treat these defects with variable success. The purpose of this case report is to present the use of a lingual mucoperiosteal flap for the closure of a defect of the oral cavity.
Cavernous sinus thrombosis or thrombophlebitis (CST) is a major life threatening complication of ... more Cavernous sinus thrombosis or thrombophlebitis (CST) is a major life threatening complication of orofacial infections [1]. We presented a case of cavernous sinus thrombosis presented with typical features of the condition. The diagnosis was based on case history and clinical presentation. The management of patient includes supportive therapy along with surgical management. Aggressive management is advocated to treat this life threatening condition.
Objectives: A randomized prospective double-blind study was conducted to determine the efficacy o... more Objectives: A randomized prospective double-blind study was conducted to determine the efficacy of sub-mucosal local infiltration vs. intravenous dexamethasone in reducing postoperative pain, swelling and trismus after surgical removal of impacted mandibular third molars. Materials and Methods: Forty five patients were included in the study and were randomly divided into three groups. Each group consisted of 15 patients for which the first and second groups were given 8 mg of dexamethasone intrlesionally & intravenously respectively, at 30 minutes prior to surgery; the third group served as control. Duration of facial swelling was evaluated subjectively by the patients themselves. Severity of postoperative pain was quantified by counting the number of analgesics taken by the patients during and after surgery (six subsequent days). Postoperative trismus was determined by measuring the maximum incisal opening before surgery and on the seventh day. Results: Results showed that duration of postoperative edema was almost the same in the three test groups. During surgery, the intravenous dexamethasone group showed a significantly lesser pain than the other two groups; the intralesional dexamethasone group showed less marked pain than the control group. Additionally, patients who had taken steroids had a marked increase in the incisal opening postoperatively over the control group. Trismus was significantly reduced in the methylprednisolone group as compared to the dexamethasone group. Conclusion: It is concluded that both preoperative local infiltration and intravenous administration of dexamethasone significantly reduced postoperative pain and trismus after surgical removal of mandibular third molars. An intravenous dexamethasone is more effective in reducing postoperative inflammatory sequelae than its intralesional route.
Introduction: Trigeminal neuralgia (TN) is an uncommon disorder seen in dental and neurologic pra... more Introduction: Trigeminal neuralgia (TN) is an uncommon disorder seen in dental and neurologic practice, which presents with brief lancinating pain in the face, in the area distributed by the trigeminal nerve. The wide ranges of treatments currently used for TN are ample evidence that there is no simple answer to how it should be managed. Purpose: In this study, we want to evaluate, if repeated peripheral alcohol injection is an effective treatment of TN patients. Material and Methods: Retrospective data analysis of patients treated with peripheral alcohol injections from November 2011 to July 2017 were conducted. We selected the patients who reported at least three times for alcohol injection and duration of pain relief recorded as reported by patients. Results: Effects of 96% absolute alcohol injection alcohol injection ranging from 13 to 15 months pain relief, but in second or third time, this duration was decreased to 11–12 months, whereas no much significant complication were observed. Conclusion: Even single time neurectomy is not permanent cure, so patients choose less invasive option such as peripheral alcohol injections in repeated use instead of a surgical option.
The clinical replacement of lost natural teeth by osseointegrated implants has represented one of... more The clinical replacement of lost natural teeth by osseointegrated implants has represented one of the most significant advances in restorative dentistry. Since their introduction in the 1970s, endosseous oral implants have become an integral part of reconstructive dentistry. Initially, implant therapy was predominantly intended for the fully edentulous patient. In recent years, however, the partially dentate patient has also become a candidate for implant placement. In such patient, dental implants are used to reconstruct the compromised dentition. This blend of teeth and implants is, in particular, critical in the periodontally susceptible patient in whom the submarginal biofilms may harbor putative periodontal pathogens which may also be involved in the processes associated with the resorption of the bony support for the implant.
Aspirin is one of the commonly used anti-platelet drugs in medical practice. The fear of excessiv... more Aspirin is one of the commonly used anti-platelet drugs in medical practice. The fear of excessive and uncontrolled intra-operative and post-operative bleeding prompts the medical practitioners to stop the aspirin before surgical procedures. However, the majority of recommendations to stop aspirin therapy were not from dental literature. The amount of blood loss depends on the invasiveness of the surgical procedure. No surgical interventions are alike and therefore strict guidelines to alter or stop these medications without considering the invasiveness of the surgical procedure is a gross mistake. The current recommendations and consensus are in favor of continuing aspirin therapy prior to dental extractions. The purpose of this article is to present the review of literature regarding safety of dental extraction procedure in patients on aspirin therapy.
Lasers have been used in dentistry for diagnostic and therapeutic purposes for more than 30 years... more Lasers have been used in dentistry for diagnostic and therapeutic purposes for more than 30 years, and are an indispensable instrument in any modern dental surgery. The use of lasers enables new treatment methods to be employed in order to meaningfully supplement traditional therapies. The purpose of this paper is to overview the use of laser as use widely. In this paper, we are summarized the role of laser in different oral and maxillofacial disease by review of literatures. Oral and maxillofacial surgery is a vast branch of dentistry which includes procedures ranging from simple extraction to pathologies of both the hard and soft-tissues. Based on extensive review of literature, certain conclusion can be made regarding the use of lasers.
Introduction: The ankylosis of temporomandibular Joint (TMJ) is challenging problem for both pati... more Introduction: The ankylosis of temporomandibular Joint (TMJ) is challenging problem for both patient and surgeon. A variety of techniques for treatment of TMJ ankylosis have been described in literature. There are three basic techniques are currently employed: gap arthroplasty, interpositional arthroplasty and joint reconstruction. However, no single method has produced uniformly successful results. Limited range of motion and reankylosis are most frequently reported complication. Aims and objectives: The purpose of this study was to evaluate and compare the two available techniques of gap arthroplasty to achieve maximum interincisal mouth opening for the treatment of ankylosis and the objective was to select postoperative regimen and better technique to minimize reankylosis. Materials and methods: Twenty patients with TMJ ankylosis were included in this study. The age of selected patients were in ranged from 5 to 25 years and divided in two groups. In group I patients, gap arthroplasty was performed and in group II patients, interpositional arthroplasty with temporalis facias flap was performed. Results: There is no significant difference observed in post operative mouth opening. In group I patients treated with gap arthroplasty the postoperative mean interincisal opening after 1 year followup was 30.60 mm and in group II mean interincisal opening after 1 year followup was 32.60 mm. Conclusion: From the result one can conclude that there is no significant difference between the patients treated with interpositional arthroplasty and gap arthroplasty. The overall outcome of the treatment depends on patient's cooperation, active physiotherapy and regular followup.
International Journal of Dental Science and Research, 2013
Aims: The fear of excessive bleeding prompts the physicians and treating surgeons to stop the asp... more Aims: The fear of excessive bleeding prompts the physicians and treating surgeons to stop the aspirin therapy prior to invasive surgical procedure. Although this decreases the risk of bleeding complications, but predispose the patient to risk of thromboembolic events. With this background in mind, this study was done to evaluate the effect of aspirin on incidence of bleeding complications. Methods: Patient on anti-platelet dose of aspirin requiring extraction of single tooth was enrolled in the study. These patients were divided into two groups with 30 patients in each group. Group 1: patients were on aspirin therapy (75e325 mg/day) who continued it during simple dental extraction and Group 2: patients stopped aspirin 7e10 days prior to procedure. Single tooth was extracted by simple intra-alveolar technique. Result: There was no post-operative bleeding complication in any group. Conclusion: Based on the result of the study. It can be concluded that there is no need to stop the antiplatelet dose of aspirin prior to simple tooth extraction.
The surgical removal of impacted mandibular third molar is associated with minor but expected com... more The surgical removal of impacted mandibular third molar is associated with minor but expected complications like pain, swelling, bruising and trismus. The lingual nerve damage sometimes occurs after the removal of mandibular third molar producing impaired sensation or permanent sensory loss. This complication is usually unexpected and unacceptable for the patients particularly if no prior warning has been given. [1] The incidence of lingual nerve injury may occur because of surgeon's inexperience, procedure methodology and certain specific factors such as raising and retracting a lingual mucoperiosteal flap with a Howarth periosteal. [2] Rood [3] (1983) reported an initial incidence of 6.6% lingual nerve injury, Blackburn and Bramley, [2] 11% and VonArx and Simpson (1997) reported 22%. The exact mechanism of lingual nerve damage during third molar surgery is controversial and amongst the most studies causes are lingual plate perforation and lingual flap trauma during ostectomy or tooth sectioning, usage of lingual flap retractor and supra-crestal incision because the nerve can be located in this region in some cases and
Giant cell granuloma is a non odontogenic benign and proliferative lesion. Although GCG is common... more Giant cell granuloma is a non odontogenic benign and proliferative lesion. Although GCG is common in mandible but also often seen in maxilla. We reported a series of case in which GCG were found in the maxilla. As surgical therapy is most commonly used therapy in central gaint cell granuloma but in several studies the results of surgical therapy have been evaluated and recurrence rates ranging from 11% to 49% have been reported. The size of the granuloma i.e tumor were appreciably big in size in some patients so treatment was planned with application of corticosteroid before surgical curettage to reduce the recurrence of surgical therapy and observed good result.
Journal of Oral Biology and Craniofacial Research, 2016
AIMS This study was set out to evaluate the relationship between the presence and absence of uner... more AIMS This study was set out to evaluate the relationship between the presence and absence of unerupted mandibular third molar and fracture of mandibular angle/condyle, and to analyse if prophylactic removal of symptom-free unerupted mandibular third molar is beneficial. METHODS Hundred patients of mandible fracture were selected randomly irrespective of age, sex, caste, creed and socio-economic status. Data were collected from the patients on the basis of history, clinical examination and radiographs for the following information: age, sex, aetiology of fracture, presence and status of the mandibular third molar and location of mandible fracture. RESULTS In group A (partially/completely unerupted mandibular 3rd molar), the incidence of angle and condylar fracture was 44.44% and 13.33%, respectively, whereas in group B (fully erupted/missing mandibular third molar), the incidence of angle fracture was 14.45% and the incidence of condylar fractures was 31.77%. CONCLUSION Practice of prophylactic removal of mandibular third molar and resultant strengthening of angle region should be reconsidered, as it increases the risk of fracture at condylar region which is difficult to treat and associated with more morbidity.
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Papers by Arunesh Tiwari