Referral pattern of oral and maxillofacial surgery cases in Sudan: A retrospective age-and sex-specific analysis of 3,478 patients over four years

Oral and maxillofacial surgery (OMFS) is a specialty widening in its scope. An objective analysis of the referral pattern can provide essential information to improve healthcare. This four-year retrospective study was implemented in Khartoum Teaching Dental Hospital. Data (age, sex, diagnosis, and type of treatment) were collected from patient records. Disease frequency, as well as the effect of sex and age, were analyzed for each group. The frequency of treatment types was also assessed. Data were collected from a total of 3,478 patients over the four-year study period. There was a male predominance with the third decade of life being the most common age group. Pathological diseases were the most common (37%) reason for referral, followed by trauma (31%). Temporomandibular joint (TMJ) disorders and dentoalveolar extraction were the least frequently observed. Open reduction and internal fixation (ORIF) was the most commonly performed procedure (28%). These data represent the epidemiology of oral and maxillofacial diseases in Sudan. Given that the third decade of life is the most represented age group, it is beneficial to learn the long-term consequences of these diseases in these young patients and to use modern surgical techniques to improve their lives.

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“AN ANALYSIS OF OPHTHALMIC INJURIES IN PATIENTS WITH MAXILLOFACIAL TRAUMA”

10.36106/ijsr/7102551 ◽

2021 ◽

pp. 81-83

Author(s):

Sharmila. S ◽

Abhilash Balakrishnan ◽

Saji Nair .A ◽

Ajith Kumar.K

Keyword(s):

Maxillofacial Surgery ◽

Maxillofacial Trauma ◽

Facial Trauma ◽

Oral And Maxillofacial Surgery ◽

Ocular Injury ◽

Age Group ◽

Facial Fractures ◽

Periorbital Oedema ◽

Maxillofacial Fractures ◽

Ocular Injuries

PURPOSE OFTHE STUDY: To estimate the proportion and types of ophthalmic injuries in patients with maxillofacial fractures PATIENTS AND METHODS: All patients with maxillofacial trauma, who came to the Department of Oral and Maxillofacial surgery Government Dental college Thiruvananthapuram from November 2020 to June 2021were included in this study. The information and data collected included age, sex, mechanism of injury, type of maxillofacial fracture and type of ophthalmic injury. RESULTS: Ocular injury was sustained by 209 patients out of which 180 (86.1%) were males and 29(13.9%)were females. The largest age group of patients associated with ophthalmic injuries were 30-39 years. The etiology of facial fractures or ocular injuries showed that road trafc accidents more frequently resulted in ocular injuries 66.5% followed by assault 18.7% and self fall 14.8%. Ophthalmic injuries occurred mostly in association with orbital fractures 33.5% followed by Zygomatico maxillary complex fracture 26.8%and Maxillary sinus fractures 24.4%. Periorbital oedema was the most common ophthalmic injury accounting for 46.4%of cases followed by Periorbital ecchymosis 35.4% and Subconjuntival haemorrhage 17.2%. CONCLUSION: Mid facial trauma commonly causes ophthalmic injuries of varying degrees. Prompt ophthalmic examination of all patients with mid facial trauma is mandatory to prevent any blinding complications

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Restorative dentistry – what's it all about?

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363507x239217 ◽

2007 ◽

Vol 89 (9) ◽

pp. 327-327

Author(s):

Paul King

Keyword(s):

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery ◽

Restorative Dentistry ◽

The Third ◽

Complex Problems ◽

The Uk ◽

Provision Of Care

The specialty of restorative dentistry encompasses the monospecialties of endodontics, periodontics and prosthodontics, and involves the provision of care and advice for patients with complex problems associated with restoring satisfactory oral and dental function and aesthetics. Restorative dentistry has been recognised within the UK for nearly 25 years, becoming the third dental specialty along with the pre-existing specialties of oral and maxillofacial surgery and orthodontics in 1973.

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Distribution of oral carcinoma case requiring radiotherapy in the Oral and Maxillofacial Surgery Clinics

Padjadjaran Journal of Dentistry ◽

10.24198/pjd.vol27no2.26494 ◽

2015 ◽

Vol 27 (2) ◽

Author(s):

Dinda Tegar Jelita ◽

Lucky Riawan ◽

Herman Hambali

Keyword(s):

Squamous Cell Carcinoma ◽

Oral Cavity ◽

Cell Carcinoma ◽

Squamous Cell ◽

Adjuvant Radiotherapy ◽

Maxillofacial Surgery ◽

Oral Carcinoma ◽

Oral And Maxillofacial Surgery ◽

Age Group ◽

Common Area

Introduction: Carcinoma is a highly malignant tumour of epithelium that occurred in the oral cavity. One of the most common therapies given is radiotherapy, with healing, adjuvant, and palliative intentions. This research was aimed to discover the distribution of oral carcinoma requiring radiotherapy. Methods: This study was a retrospective, descriptive method. Samples were taken from the medical record of patients with oral cavity carcinoma requiring radiotherapy at the Oral and Maxillofacial Surgery Clinics of Hasan Sadikin Hospital, Bandung, of January 2006–December 2010. Results: This study indicated that as many as 23 (20.9%) cases of oral carcinoma requiring radiotherapy from a total of 110 oral carcinoma cases in that period. Type of radiotherapy most frequently found was adjuvant radiotherapy, by 14 (60.8%) cases. The most frequent type of oral carcinoma case requiring radiotherapy was squamous cell carcinoma, by 12 (52.1%) cases. Tongue become the most common area of oral carcinoma requiring radiotherapy, by 7 (30.4%) cases. Oral carcinoma case requiring radiotherapy was most frequently found in men by 14 (60.8%) cases. The age group of 41-50 was become the majority by 7 (30.4%) cases from all of the oral carcinoma case requiring radiotherapy. Conclusion: Distribution of oral carcinoma case requiring radiotherapy in the Oral and Maxillofacial Surgery Clinics of Hasan Sadikin Hospital is found in as many as 23 (20.9%) cases. Most frequent radiotherapy given is adjuvant radiotherapy (14 (60.8%) cases). The most frequent type of oral carcinoma case requiring radiotherapy is squamous cell carcinoma (12 (52.1%) cases). The most common area of oral carcinoma requiring radiotherapy is tongue (7 (30.4%) cases). Oral carcinoma case requiring radiotherapy was most frequently found in men (14 (60.8%) cases). The age group of 41-50 is the majority age suffered from disease (7 (30.4%) cases).

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One of the Highest World Privileges

Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology ◽

10.23999/j.dtomp.2018.3.2 ◽

2018 ◽

Vol 2 (3) ◽

pp. 112-112

Author(s):

Ievgen Fesenko

Keyword(s):

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery ◽

Lip Reconstruction ◽

Prestigious Journal ◽

The Third ◽

Neck Reconstruction ◽

Alternative Approach ◽

Flap Design ◽

Microvascular Tissue Transfer ◽

Margin Analysis

Royal College of Surgeons of Edinburgh (RCSEd) is one of the oldest surgical corporations (professional oragization) in the world and traces its origins to 1505 [1]. The ad hominem fellow distinction is the most prestigious designation a surgeon can receive from the college. Of the more than 10,000 U.S. surgeons in his specialty, Rui P. Fernandes, MD, DMD, is just the third to be inducted as one (Fig 1) [2]. Consulting Editor of the highly prestigious Journal Oral and Maxillofacial Surgery Clinics of North America. Textbooks: Local & Regional Flaps in Head & Neck Reconstruction: A Practical Approach (Fernandes) – published in 2014; Oral, Head & Neck Oncology & Reconstructive Surgery (Bell, Fernandes, Andersen) – published in 2017. Co-author in the cutting-edge articles: Outcomes of total or near-total lip reconstruction with microvascular tissue transfer; Margin analysis: sarcoma of the head and neck; The cervicofacial flap in cheek reconstruction: a guide for flap design; Alternative approach in mandibular reconstruction for benign disease [3-6]. The list goes on. He don’t stop to relax. He continue to do that again, and again, and again... To move a surgery forward.

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Compound odontoma associated with dentigerous cyst in the anterior mandible – case report

RSBO ◽

10.21726/rsbo.v12i1.178 ◽

2016 ◽

Vol 12 (1) ◽

pp. 98

Author(s):

Radamés Bezerra Melo ◽

Yuri Edward de Souza Damasceno ◽

Celio Armando Couto da Cunha Junior ◽

Igor Vasconcelos Pontes

Keyword(s):

Case Report ◽

Dentigerous Cyst ◽

Maxillofacial Surgery ◽

Young Patients ◽

Radiographic Examination ◽

Oral And Maxillofacial Surgery ◽

Surgical Removal ◽

Impacted Tooth ◽

Follicular Cyst ◽

Compound Odontoma

Introduction: The dentigerous cyst, also called a follicular cyst is an odontogenic cyst that develops in association with crown of an impacted tooth, predominantly in mandibular third molars of young patients. The Odontoma is a ectomesenquimal tumor of unknown origin that are more considered developmental malformations (harmatomas) than benign neoplasms. Occasionally, the dentigerous cyst is associated with odontoma. Objective: The article aims to report a case of surgical treatment of dentigerous cyst associated with compound odontoma and unerupted tooth in anterior region of the mandible. Case report: A male patient, 17 years of age, without systemic changes, was sent to the Center for Dental Specialties of Horizonte, Ceará, Brazil, specialty of Oral and Maxillofacial Surgery, for diagnosis and treatment of oral lesions visualized after periapical radiographic examination to determine failed eruption of element 42. Observing the periapical radiograph it was possible to visualize radiopaque lesion suggestive of a compound odontoma and a cystic capsule in association with the element 42. A panoramic radiographwas requested and it was planned a surgical removal of odontoma with curettage of bone cavity and removing the cystic capsule and element 42. There were no significant postoperative complications, the suture removal was performed 7 days after surgery where it was possible to observe a good healing, no swelling and no paresthesia. Conclusion: The treatment of choice is surgical excision of the lesions with the tooth associated to the cyst, it should be performed with proper planning, avoiding injury to vital structures and should not be delayed in order to avoid possible occlusion sequelae.

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The Seven-year Journey of an Ectopic Canine: Multidisciplinary Management of a Dentigerous Cyst in the Early Mixed Dentition

Dental Update ◽

10.12968/denu.2021.48.10.816 ◽

2021 ◽

Vol 48 (10) ◽

pp. 816-820

Author(s):

Thibault Colloc ◽

Roderick Morrison ◽

Mark Burrell ◽

Colin Larmour

Keyword(s):

Orthodontic Treatment ◽

Treatment Plan ◽

Dentigerous Cyst ◽

Maxillofacial Surgery ◽

Young Patients ◽

Mixed Dentition ◽

Oral And Maxillofacial Surgery ◽

Satisfactory Outcome ◽

Dentigerous Cysts ◽

Surgical Extraction

The Aberdeen Royal Infirmary oral and maxillofacial surgery department is involved in the joint planning of cases with the orthodontic and restorative departments of the Aberdeen Dental Hospital to agree an optimal treatment plan for patients, with input from all three specialties. A 7-year-old girl was referred to the orthodontic department by her GDP due to non-eruption of the upper left central incisor. This was related to an associated dentigerous cyst. This presentation illustrates the phases of treatment involving marsupialization of the dentigerous cyst; surgical extraction and orthodontic treatment in order to provide the patient with the optimal outcome for her dentition. A retrospective assessment of the case is presented through photographs and radiological imaging outlining the chronology of the treatment and the outcome of marsupialization of the dentigerous cyst. It highlights this more conservative surgical approach as giving the best chances of preserving unerupted teeth in a younger patient. Marsupialization of a dentigerous cyst associated with UL1 and conservative management of cystic pathology led to preservation and natural mesial eruption of UL3 into the position of UL1. The unerupted UL1 associated with cystic pathology was extracted due to its ectopic position and root dilaceration. Seven years after diagnosis of the dentigerous cyst associated with the unerupted UL1, surgical and orthodontic management has facilitated the for patients tooth to erupt into the UL1 position. Restorative treatment is being planned following orthodontic treatment to restore for patients tooth to simulate the missing UL1. CPD/Clinical Relevance: This case encourages the appropriate referral of young patients with dentigerous cysts to achieve a satisfactory outcome.

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Analysis of pre-prosthetic surgeries performed in a private dental institution

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl3.3504 ◽

2020 ◽

Vol 11 (SPL3) ◽

pp. 1737-1742

Author(s):

Nurul Syamimi Binti Mohd Azlan Sunil ◽

Santhosh Kumar M P ◽

Revathi Duraisamy

Keyword(s):

Maxillofacial Surgery ◽

Categorical Variables ◽

P Value ◽

Oral And Maxillofacial Surgery ◽

Age Group ◽

Chi Square ◽

Tests Of Association ◽

Spss Software ◽

And Gender ◽

Prosthetic Surgery

Pre-prosthetic surgery is part of the oral and maxillofacial surgery, which concerns restoration of facial form and oral function. Pre-prosthetic surgery is a surgery done to obtain a better anatomic environment and to provide proper supporting structures for denture construction. The aim of this study was to analyse the various pre-prosthetic surgeries performed in a private dental institution. In this retrospective study, digital case records of all patients who underwent pre-prosthetic surgeries in Saveetha Dental College and Hospital from June 2019 to March 2020 were reviewed. Demographic details of patients and types of pre-prosthetic surgeries performed were recorded from digital case records. Retrieved data was analysed using IBM SPSS Software Version 23.0. Descriptive statistics and tests of association for categorical variables by Chi square tests were done and results were obtained. P value <0.05 was considered statistically significant. In this study, we observed that pre-prosthetic surgery was more commonly performed in the age group of 51-60 yrs (23.3%). Pre-prosthetic surgeries were done more in males than females. The most common type of pre-prosthetic surgery was valvuloplasty (62.2%), followed by frenectomy (20.7%). Statistically, a significant association was found between pre-prosthetic surgery and age group; pre-prosthetic surgery and gender; pre-prosthetic surgery and quadrant involved (p<0.05) Within the limits of this study, it can be concluded that the most common pre-prosthetic surgery performed was valvuloplasty. Pre-prosthetic surgery was performed more in males and the age group of 51-60 years, mostly in the third quadrant.

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Orthognathic surgery case overview in patients with class III dentoskeletal Angle classification

Padjadjaran Journal of Dentistry ◽

10.24198/pjd.vol25no2.26788 ◽

2013 ◽

Vol 25 (2) ◽

Author(s):

Dimas Ilham Hutomo ◽

Ida Ayu Astuti ◽

Borman Sumaji

Keyword(s):

Medical Record ◽

Orthognathic Surgery ◽

Maxillofacial Surgery ◽

Surgical Techniques ◽

Open Bite ◽

Surgical Patients ◽

Oral And Maxillofacial Surgery ◽

Class Iii ◽

Anterior Open Bite ◽

Record Data

Introduction: Angle classification is a classification commonly used for malocclusion in the field of orthodontics. Mandibular prognation is one of the skeletal features of Class III dentoskeletal classification or defined as mesiocclusion. The prevalence of class III dentoskeletal occurrence in Asian populations is much higher than Caucasian racial populations. Aim of research is to obtain data of Orthognathic surgery case overview in patients with class III dentoskeletal angle classification Methods: Type of research is using a retrospective descriptive method by taking secondary data from medical record cards of orthognathic surgery cases. The population in this study were all medical record data of patients undergoing orthognathic surgical treatment in the Oral and Maxillofacial Surgery Department of RSUP Dr. Hasan Sadikin 2006-2011 period. The sample in this study is medical record data of patients with Class III dentoskeletal classification performed orthognathic surgery in the period 2006-2011. then classified by year of surgery, sex, age, Angle classification, state of anterior open bite, location of surgery, and technique used in surgery. Result: 2% of orthognathic surgical patients have a Class III Angle relationship and only 8% of orthognathic surgical patients have a Class II Angle relation. Based on the anterior tooth overbite relation in patients with an Angle class III relationship, there are 16 patients who have an open bite relation on the anterior teeth. Only 8 patients from Angle III class relationships were treated with orthognathy without an anterior open bite relation.Conclusion: In the period 2006-2011, the Department of Oral and Maxillofacial Surgery Dr. Hasan Sadikin handled 26 orthognathic surgical patients, The most orthognathic surgical patients were in the age group of 21-25 years and the difference in the number of male and female patients was only small, Cases of orthognathic surgery in patients with class dentoskeletal Angle classification III is the most handled case by the Department of Oral and Maxillofacial Surgery Dr. Hasan Sadikin Bandung in the period 2006-2011 reached 92.31% of all orthognathic surgery cases or 24 cases. (4) Most orthognathic surgical patients with Class III dentoskeletal classification have an anterior open bite relation. The most commonly performed surgical techniques for patients with Class III dentoskeletal classification are bimaxillary surgical techniques with a combination of Le Fort 1 osteotomy techniques on the maxilla and sagittal split osteotomy and genioplasty of the mandible.

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CHA-collagen implantation to increase alveolar bone density

Majalah Kedokteran Gigi Indonesia ◽

10.22146/majkedgiind.41142 ◽

2021 ◽

Vol 6 (2) ◽

pp. 94

Author(s):

Dody Setiawan ◽

Poerwati Soetji Rahajoe ◽

Cahya Yustisia Hasan

Keyword(s):

Bone Density ◽

Alveolar Bone ◽

Maxillofacial Surgery ◽

Third Molar ◽

Radiographic Examination ◽

Oral And Maxillofacial Surgery ◽

Graft Material ◽

Pixel Intensity ◽

The Third ◽

Spearman Test

Tooth extraction is the common procedure in dentistry. This procedure causes a wound in teeth socket. Thus, the socket had to be secured to prevent over resorption of alveolar bone. This study used the third molar as a model to examine the third molar mandibular odontectomy routine procedure in oral and maxillofacial surgery. The new bone formation could be evaluated by radiographic examination. The aim of this study was to evaluate the effect of CHA-collagen implantation on the third molar mandibular bone density using 3D-CBCT to determine bone quality. The research was conducted by comparing extraction socket after the third molar mandible odontectomy, before and after graft material implantation. The subjects were divided into two groups. Group A consisted of six non-implanted subjects and group B consisted of six subjects with CHA-collagen implanted socket. Three dimensional CBCT evaluated alveolar bone density using pixel intensity at the socket area after odontectomy procedure and 10 weeks after. The result of t-test showed that CHAcollagen implanted socket had significantly higher pixel intensity than non-implanted group (p=0,046) until 10 weeks. Spearman test showed that the implanted CHA-collagen had a positive correlation with the increase of alveolar bone density (p=0.028; r=0.860) until 10 weeks. In brief, implantation of CHA-collagen increased bone density until 10 weeks.

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The prevalence of malposition third molar with traumatic ulcer

Padjadjaran Journal of Dentistry ◽

10.24198/pjd.vol25no1.26785 ◽

2013 ◽

Vol 25 (1) ◽

Author(s):

Tun Shafiqah Tun Abdul Majid ◽

Ida Ayu Astuti ◽

Tenny Setiani Dewi

Keyword(s):

Medical Records ◽

Maxillofacial Surgery ◽

Third Molar ◽

Secondary Data ◽

Oral And Maxillofacial Surgery ◽

Abnormal Position ◽

Mechanical Abrasion ◽

The Third ◽

Maxilla And Mandible ◽

Surgery Department

Introduction: Malposition third molar is a condition when the third molar is erupted but in an abnormal position and relation to maxilla and mandible. Due to a frequent mechanical abrasion between the third molar and oral mucosa, a traumatic ulcer resulted. Hence, this research aims to determine the prevalence of traumatic ulcer in regards to a malposed third molar in Oral and Maxillofacial Surgery Department, Rumah Sakit Hasan Sadikin in a periodic of August 2008 to August 2011.Methods: The samples taken were all medical records which stated the coveted diagnosis which satisfied the variables of the age, gender and malposed third molar. The method of this research was descriptive retrospective study by using secondary data. Results: This research ratiocinates that the prevalence of malposition third molar with traumatic ulcers is 0.012% with tooth 18 caused most traumatic ulcer. Females predominant this condition and it is common in the third decade of age. Conclusion: Derived from the outcomes of this research, it can be concluded that the prevalence of malposition third molar with traumatic ulcer in Oral and Maxillofacial Surgery Department of Rumah Sakit Hasan Sadikin from August 2008 to August 2011 is 0.012%.

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