scholarly journals Single versus multiple antibiotics during extraction of mandibular first and second molar

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1943-1948
Author(s):  
Janhvi Manohar ◽  
Hemavathy O R ◽  
Saravana Dinesh S P
Keyword(s):  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Antibiotic Resistant ◽  
Second Molar ◽  
Dental Practitioners ◽  
Mandibular Molar ◽  
Alveolar Osteitis ◽  
Middle Aged Adults ◽  
Systemic Antibiotics ◽  
Multiple Antibiotics

Extractions of molars are one of the frequently performed procedures in a dental clinic and it is associated with innumerable trans operative and post-operative complications, such as edema, trismus, localized alveolar osteitis, pain and surgical site infection. Some authors advocate the use of local and systemic antibiotics to reduce the incidence of these postoperative complications. Despite the risks of allergic reactions among some individuals, toxicity and the development of antibiotic resistant microorganisms, about 50% of dentists routinely prescribe the use of prophylactic antibiotics for this purpose, however the number of antibiotics prescribed vary among dental practitioners. A retrospective study was done among patients visiting the Department of Oral and Maxillofacial Surgery undergoing extraction of first and second mandibular molar and prescribed post-operative antibiotics. The number and group of antibiotics were noted, data were tabulated, and descriptive statistics were performed. Among 1909 patients, about 95% of the patients were prescribed single antibiotic post-extraction, and this was high among young adults, whereas multiple antibiotics were highly opted and prescribed for middle-aged adults.

Juvenile trabecular ossifying fibroma in association with multiple mandible deciduous teeth: an atypical case report

RSBO ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 76-83
Author(s):  
Rafael Correia Cavalcante ◽  
Camila Lago ◽  
Luiz Eduardo Baglioli ◽  
Aline Costa Vaz ◽  
Aimee Simonetto ◽  
...  
Keyword(s):  
Case Report ◽  
Maxillofacial Surgery ◽  
Deciduous Teeth ◽  
Ossifying Fibroma ◽  
Oral And Maxillofacial Surgery ◽  
Histopathological Analysis ◽  
Second Molar ◽  
Mandibular Molar ◽  
Mandibular Region ◽  
Paediatric Service

Ossifying fibroma is a benign fibro-osseous lesion characterized by the formation of a cellular fibrous connective tissue stroma with cementum-like material and/or osseous components. The juvenile variant is reported to be an aggressive lesion in paediatric patients. Its poor symptomatology contrasts with its highly aggressive behaviour in maxillary or mandibular region. Objective: The aim of the present study is to report a case of an atypical ossifying fibroma in association of multiple deciduous teeth. Case report: A nine years-old girl was referenced to the Oral and Maxillofacial Surgery Service at Positivo University by the Paediatric Service after radiographic confirmation of a round lesion in lower left mandible region. Imaginological examination revealed a well-defined, round, with multiple radiopaque foci associated with the roots of deciduous molars and with root of first permanent mandibular molar of the left side. Lesion embedded the root and crown of the unerupted second left premolar, suggesting that the tumour arouse from it. After incisional biopsy, histopathological analysis suggested the trabecular pattern of juvenile ossifying fibroma. Surgery was conducted through an intra-oral approach. Incision was drawn in gingiva from the left lateral inferior incisor region until the unerupted second molar region, finished with a relaxing incision. A round tumour in association with the unerupted permanent premolars, which were also extracted, was removed in its entire extent by enucleation. Histopathological analysis confirmed the previous diagnosis of juvenile trabecular ossifying fibroma. Peripheral ostectomy was conducted to diminish chances of lesion relapse. Conclusion: 16 months follow-up showed no lesion recurrence.

Temporomandibular joint disorders

2020 ◽  
Vol 13 (8) ◽  
pp. 475-483
Author(s):  
Timothy Collins
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorder ◽  
Maxillofacial Surgery ◽  
Temporomandibular Joint Disorders ◽  
Oral And Maxillofacial Surgery ◽  
Poor General Health ◽  
Disease States ◽  
Accident And Emergency ◽  
Dental Practitioners ◽  
The Face

The temporomandibular joint (TMJ) is prone to a number of disease states involving any one of its anatomical components. The current favoured term for problems associated with the TMJ is ‘temporomandibular disorder’ (TMD). TMD is one of the most common orofacial pain conditions. Patients will present to GPs and general dental practitioners as well as directly to accident and emergency, typically for referral to Oral and maxillofacial surgery, due to either significant acute pain or chronic pain that can no longer be tolerated. Common features of TMD include pain in the face and preauricular area, restricted jaw movement, and noise from the TMJs during jaw movements. TMD can coincide with poor general health, psychological co-morbidities such as depression and often affects quality of life.

scholarly journals Orthodontic-surgical therapy of retained upper canine

2012 ◽  
Vol 65 (5-6) ◽  
pp. 233-237
Author(s):  
Sinisa Mirkovic ◽  
Ivan Sarcev ◽  
Branislav Bajkin ◽  
Ana Tadic ◽  
Tatjana Djurdjevic-Mirkovic
Keyword(s):  
Health Status ◽  
Surgical Therapy ◽  
Maxillofacial Surgery ◽  
Pediatric Dentistry ◽  
Dental Arch ◽  
Oral And Maxillofacial Surgery ◽  
Dental Age ◽  
Impacted Tooth ◽  
Dental Practitioners ◽  
Overall Health Status

Introduction. Therapy of impacted teeth is undoubtedly one of the most intriguing issues for the experts in the field of dentistry. General dental practitioners, as well as specialists in the field of pediatric dentistry, periodontology, orthodontics and particularly oral and maxillofacial surgery have been facing this challenge throughout past several years. Each of these experts can contribute to solving this problem; however, each of them alone can solve only a limited number of cases. Discussion and Conclusion. Since recently, the fate of impacted tooth has been determined mainly by the competence, experience and skill of the orthodontist to apply light traction in an appropriate direction once the tooth has been made surgically exposed. Oral surgeon and orthodontist should share the responsibility for a patient with impaction as they together have the necessary skill and competence required for an effective therapy. In addition, dental age of the child is to be taken into consideration, as well as his/her overall health status and potential interference with other anomalies of dental arch.

Mouth Cancer: the Maxillofacial Surgeon's perspective

Dental Update ◽  
2020 ◽  
Vol 47 (10) ◽  
pp. 831-838
Author(s):  
Alexander MC Goodson ◽  
Satyesh Parmar ◽  
Prav Praveen ◽  
Matthew Idle ◽  
Timothy Martin
Keyword(s):  
Oral Cancer ◽  
Maxillofacial Surgery ◽  
Treatment Phase ◽  
Oral And Maxillofacial Surgery ◽  
Early Management ◽  
Dental Practitioner ◽  
General Dental Practitioner ◽  
Dental Practitioners ◽  
Oral And Maxillofacial Surgeon ◽  
Surgical Treatments

This article summarizes current practice according to UK guidelines for the management of oral cancer from the perspective of the oral and maxillofacial surgeon. The article discusses the patient pathway, starting with recognition of sinister features by the general dental practitioner in primary care and referral to specialist oral and maxillofacial surgery services, followed by the multidisciplinary approach to tumour staging, cancer treatment planning and delivery, and finally key issues in the ‘post-treatment’ phase of cancer care. Additional focus is provided for some of the surgical treatments and anatomical and physiological changes, of which the general dental practitioner should have some understanding. CPD/Clinical Relevance: General dental practitioners play a key role in the detection and early management of oral cancer, referring approximately 40% of all cases to secondary care. It is therefore important to understand key milestones and technical elements of the patient's journey.

scholarly journals SURGICAL MANAGEMENT OF GENERALIZED GINGIVAL ENLARGEMENT – A CASE SERIES

2016 ◽  
Vol 20 (3) ◽  
Author(s):  
Muhammad Usman Akhtar ◽  
Asif Nazir ◽  
Samera Kiran
Keyword(s):  
Surgical Management ◽  
Tertiary Care ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Surgical Excision ◽  
Oral And Maxillofacial Surgery ◽  
Lack Of Information ◽  
Dental Practitioners ◽  
Gingival Enlargement ◽  
Tertiary Care Centers

Introduction:  Generalized gingival enlargement is characterized by massive and exuberant gingival over-growth that poses social, aesthetic, phonetic and functional problems for the patient. Therefore, it requires meticulous management.Objective:  To describe the surgical management of generalized gingival enlargement by electrosurgical excision of patients presenting to a tertiary care centre.Study Design:  Case series.Materials and Methods:  The study was conducted at the Department of Oral and Maxillofacial Surgery, de’Montmorency College of Dentistry, Lahore, from January 2010 to December 2012. A total of sixteen patients were operated by using electrosurgical approach under general anaesthesia for surgical excision of generalized gingival enlargement.Results:  All of the sixteen patients, 11 males and 5 females, showed excellent healing postoperativelywithout any recurrent gingival overgrowth.Discussion:  To the best of our knowledge, the current study presents the largest case series of generalized gingival enlargement. Most of these cases were with massive disease due to lack of information of the study population about their disease, delay in referral by the general dental practitioners, painless and innocent nature of the problem. Early referral of such patients to tertiary care centers can prevent the patients from social and psychological embarrassment.Conclusion:  Electrosurgical excision is an excellent surgical technique for management of generalized gingival enlargement. Moreover, cross comparative studies are required to establish some diagnostic and therapeutic standards for such patients.

scholarly journals Awareness of Bisphosphonate Use and Its Dental Complications among the Dental Practitioners

2015 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Imran Khalid ◽  
Jyotsna Galinde ◽  
Sunil Sidana ◽  
Gauri Kokane
Keyword(s):  
Past History ◽  
Maxillofacial Surgery ◽  
Treatment Strategies ◽  
Oral And Maxillofacial Surgery ◽  
Postgraduate Student ◽  
Cross Sectional ◽  
Postgraduate Students ◽  
Staff Members ◽  
Trade Name ◽  
Dental Practitioners

ABSTRACT Objectives To assess the awareness, among dental practitioners, of the use of bisphosphonates (BP) and its complications related to dental extractions as well as to outline protocol for its prevention and management. Materials and Methods A cross-sectional descriptive study was carried out in department of oral and maxillofacial surgery, MGM Dental College and Hospital, Kamothe, Navi Mumbai, in December 2013. Data collection was carried out by a selfadministered questionnaire distributed among interns, postgraduate students and staff members at the hospital. Results Total of 159 people were included in to the study. Out of which 95 were interns, 25 were postgraduate students and 39 were staff members. Four out of 39 staff members, six postgraduate students out of 25 and 18 out of 99 interns were unaware of trade name of drug alendronate as Fosamax. Eight staff out of 39, six postgraduate students of 25 and 23 interns out of 95 were unaware of term BRONJ. Thirty-three out of 39 staff, 20 out of 25 postgraduate student and 81 out of 95 interns were aware of clinical use of BP. Thirty-eight out of 39 staff, 23 out of 25 postgraduate student and 93 out of 95 interns were familiar with BP. Fourteen out of 39 staff, three out of 25 postgraduate students and 25 out of 95 interns were aware of guidelines on treating patients on BP. Thirty-seven out of 39 staff, four out of 25 postgraduate students and 21 out of 95 interns have asked patients about past history of BP use. Conclusion There is a lack of complete awareness about BP use, its dental complications and prevention and treatment strategies for BP-related osteoradionecrosis of jaws. Bisphosphonates and its related dental complications and management should be included in the undergraduate dental curriculum. How to cite this article Kokane G, Sidana S, Galinde J, Khalid I. Awareness of Bisphosphonate Use and Its Dental Complications among the Dental Practitioners. J Contemp Dent 2015;5(1):1-6.

scholarly journals Compound Odontoma in young girl

2015 ◽  
Vol 27 (3) ◽  
Author(s):  
Nurwahida N. ◽  
Melita Sylvyana ◽  
R. Agus Nurwiadh ◽  
Rizki Diposarosa
Keyword(s):  
Case Report ◽  
Maxillofacial Surgery ◽  
Posterior Part ◽  
Panoramic Radiograph ◽  
Young Girl ◽  
Oral And Maxillofacial Surgery ◽  
Anterior Maxilla ◽  
Second Molar ◽  
Unerupted Teeth ◽  
Compound Odontoma

Introduction. Odontomas are the most common type of odontogenic tumors and generally they are asymptomatic. These tumors are formed from enamel and dentin, and can have variable amounts of cement and pulp tissues. According to radiographic, microscopic, and clinical features, two types of odontomas are recognized: Complex and compound odontomas. Complex odontomas occur mostly in the posterior part of the mandible and compound odontomas in the anterior maxilla. Case Report. A young girl patient, 9 years old came to Department of Oral and Maxillofacial Surgery with a slow growing and asymptomatic swelling in her left posterior mandible for 5 years in his history taking. The panoramic radiograph show  a radioopacity and radiolucent lesion at the lower second molar region, with well-corticated limits. An insisional biopsi   confirmed  as compound odontoma. The surgery  performed with simple enucleation and curettage under general anaesthesia. Discussion. Compound odontomas are usually located in the anterior maxilla, over the crowns of unerupted teeth, or between the roots of erupted teeth. In this case report, Compound odontomas are found in the posterior mandible. Conclusion. Compound odontomas in the posterior mandible is a rare. The treatment of odontomas depends on the size of the lesion. The early diagnosis, the treatment of choice is conservative surgical enucleation and curettage and prognosis is excellent.

Comparison of Iodoform and Paraminobenzoate for The Managment of Dry Socket

2021 ◽  
Vol 15 (11) ◽  
pp. 3265-3267
Author(s):  
Iffat Panhwar ◽  
Safia . ◽  
Fida Hussain ◽  
Suneel Kumar Punjabi ◽  
Shuja Hamid ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Study Groups ◽  
Oral And Maxillofacial Surgery ◽  
Sterile Saline ◽  
Dry Socket ◽  
Mandibular Molar ◽  
Surgical Extraction ◽  
Group A ◽  
Group B ◽  
Molar Extraction

Objective: The aim of present study is to compare effectiveness of two different modalities Iodoform and Para-Aminobenzoate for the management of Dry socket. Material And Methods: Patients reported with dry socket at the OPD of Oral and Maxillofacial Surgery, Institute of Dentistry, Liaquat University of Medical and Health Sciences, after mandibular molar tooth extraction were included After thorough irrigation with sterile saline and followed up for three alternative days by replacing dressing and then findings were recorded in the designated proforma of the patients. Pain was measured by Visual Analogue Scale (VAS). Results: The mean age of group A was 26.18+4.41 years and mean age in group B was observed 26.0+3.92 years. Males were predominantly reported in both groups. In this study 3rd molar extraction was commonest as 81.1% in group A. Similarly 3rd molar extraction was 85.5% in group B. Most of the cases of both groups underwent surgical extraction. In our study mostly onset symptoms were seen at 72 hours in both study groups. On day 3 and 4 pain was markedly decrease in patients of group B as compared to group A, p-values were quite insignificant (p=0.001). Conclusion: Para-Aminobenzoate showed better effectiveness in decreasing the pain from day 2nd. Keywords: Dry socket, Iodoform, Para-Aminobenzoate, Pain

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