scholarly journals Outcome of sclerosing agent for managing the oral pyogenic granuloma.

2020 ◽  
Vol 27 (06) ◽  
pp. 1224-1229
Author(s):  
Ameer Gul Zardari ◽  
Muhammad Shahzad ◽  
Ali Raza Abbasi ◽  
Abdul Ghani Shaikh ◽  
Aftab Ahmed Memon ◽  
...  

Objectives: Outcome sclerosing agent for managing the oral pyogenic granulomain terms of post-operative pain, post-operative healing and post-operative infection. Study Design: Cross-section study. Setting: Department of Oral & Maxillofacial Surgery, Institute of Dentistry, Liaquat University of Medical & Health Sciences Jamshoro / Hyderabad. Period: October 2018 to March 2019. Material & Methods: Patients with oral pyogenic granuloma and willing to contribute in study were included. Sclerosing agent (ethanolamine oleate) was taken in 3cc disposable syringe and injected in each lesion once a week and repeated according to need. Patients were fooled for 1 to 3 weeks. Outcome was assessed in terms of post-operative pain, post-operative healing and post-operative infection. Data was recorded in proforma. Results: Total seventy four patients were included; their mean age was 40.67+4.99 years. Males were in majority 59.5%. On 1st week 32 showed mild pain which was markedly decreased on 2nd and 3rd week almost among all patients. On 1st week healing was achieved by all cases. Infection was occurred in 4 patients and fever was noted in 12 cases. On 2nd week infection was occurred in 2 patients and fever was in 04 cases. On 3rd week infection was noted in only one cases and fever not found. Conclusion: It was concluded that sclerosing agent ethanolamine oleate is better treatment option than surgical removal with lower rate of pain, best achievement of post-operative healing and lower rate of post-operative infection for the oral pyogenic granuloma management.

Author(s):  
Ameer Gul ◽  
Muhammad Shahzad ◽  
Ali Raza Abbasi ◽  
Tariq Hussain Shaikh ◽  
Taimoor Ali Khan ◽  
...  

Objective: To determine the outcome of surgical removal of oral pyogenic granuloma in terms of post-operative pain (POP), post-operative healing and post-operative infection. Materials and methods: This observational study was conducted at Oral and Maxillofacial Surgery department, Liaquat University of Medical and Health Sciences Jamshoro/Hyderabad, from October 2018 to March 2019. Patients of oral pyogenic granuloma, 18-45 years old and either of gender were included. Surgical process of oral pyogenic granuloma were done under local anesthetic by giving infiltration surrounding deep oral pyogenic granuloma by 2% Xylocaine along with adrenaline. Patients were followed for three weeks on weekly basis to access post-operative complications including post-operative healing. Data was collected via study proforma. Results: Total 37 patients took part in the study; their mean age was 47.86+7.61 years. On 1st week assessment all patients were noted with history of mild pain, moderate pain and severe pain (19, 10 and 8 cases respectively), while healing was achieved in 19 patients. On second week assessment 25 patients exhibited mild pain and 6 exhibited moderate pain and healing was achieved by 16 patients. On 3rd week assessment, only 09 patients exhibited mild pain and mostly were healed few cases showed minor infection. Conclusion: It was concluded that surgical removal is valuable procedure for the management of pyogenic granuloma of oral cavity with lower rates of post-operative infection and pain, and highest rates of post-operative healing.


2019 ◽  
Vol 6 (1) ◽  
pp. 10-13
Author(s):  
Manu R. Goel ◽  
Milind D. Shringarpure ◽  
Vasant V. Shewale ◽  
Tejasvini Dehankar ◽  
Ajit Joshi

The extraction of impacted third molars is among the most common surgical procedures carried out in the field of Oral and Maxillofacial Surgery. Both the patient and dentist must therefore have scientific evidence-based information concerning the estimated level of surgical difficulty of every case to consider in referring cases of impacted third molars for specialists’ handling. We have undertaken a study in which demographic and radiological variables were considered together to evaluate the risk factors for surgical difficulty in a cohort of 100 impacted mandibular third molars. There were 13 variables evaluated for surgical difficulty. Total surgical time intervention was noted at the end of each surgery. Each variable was analysed with total surgical time intervention with univariate and multiple linear regression. Out of 13 variables, 9 were found statistically significant. The most significant predictors for surgical difficulty were Body Mass Index, Depth of impacted tooth and Retromolar space. No postoperative complications were reported.


2001 ◽  
Vol 27 (6) ◽  
pp. 521-523 ◽  
Author(s):  
Kazuya Matsumoto ◽  
Hideki Nakanishi ◽  
Takuya Seike ◽  
Yoshio Koizumi ◽  
Keiichi Mihara ◽  
...  

2001 ◽  
Vol 27 (6) ◽  
pp. 521-523
Author(s):  
KAZUYA MATSUMOTO ◽  
HIDEKI NAKANISHI ◽  
TAKUYA SEIKE ◽  
YOSHIO KOIZUMI ◽  
KEIICHI MIHARA ◽  
...  

2018 ◽  
Vol 32 (3) ◽  
pp. 154
Author(s):  
Fernando De Oliveira Andriola ◽  
Leonardo Matos Santolim Zanettini ◽  
Ricardo Giacomini De Marco ◽  
Camila Kunz ◽  
Cássia Dos Santos Machado Vaz ◽  
...  

OBJECTIVE: This article presents a case of inflammatory fibrous hyperplasia (IFH) treated by diode laser surgery, as well as a review of the literature about this pathology.CASE DESCRIPTION: A 55-year-old woman was referred to the Department of Oral and Maxillofacial Surgery, Pontifical Catholic University of Rio Grande do Sul, School of Dentistry, complaining of a discomfort on swallowing due to a soft-tissue mass in the oral cavity that had been developing for approximately 3 years. Intraoral examination revealed multiple exophytic, pedunculated lesions with a smooth surface and pinkish in color, affecting almost the entire right cheek mucosa. The lesion turned out to be a IFH by histopatology. Surgical removal of IFH of the oral mucosa using a diode laser was performed. The lesion was removed in 3 sessions. The patient reported no local symptoms after each irradiation. The clinical appearance 10 months after the last irradiation session demonstrated complete healing and no signals of recurrence.CONCLUSION: Based on the results obtained, we can conclude that diode laser radiation contributes significantly to the advancement of oral surgery and should be considered a valuable resource for the treatment of soft-tissue lesions in the field of oral and maxillofacial surgery.


2021 ◽  
Vol 28 (12) ◽  
pp. 1692-1695
Author(s):  
Zunnera Rashid Chaudhry ◽  
Erum Rashid ◽  
Sana Rasheed ◽  
Hina Aslam ◽  
Sabeen Shakir ◽  
...  

Objectives: To study the correlation between recovery time and hemoglobin level in COVID-19 infected patients. Study Design: Observational study. Setting: Rawal Institute of Health Sciences Islamabad, Pakistan Institute of Medical Sciences Islamabad. Period: February 2021 to June 2021. Material & Methods: Data was analyzed using SPSS version 27.Mann Whitney U test was used to compare the duration of recovery among the groups and spearman's correlation was applied for correlating the duration of recovery with the Hb levels of COVID-19 patients. Result: Group 1 patients recovered within 14 days and group 2 patients recovered after 14 days. COVID-19 infected Patients with low hemoglobin level took more than 14-20 days to recover from disease and those with high hemoglobin recovered within 8-14 days. Conclusion. Recovery from disease was prolonged in corona virus infected patients with less hemoglobin as compared to patients with high levels of hemoglobin levels.


2018 ◽  
Vol 25 (04) ◽  
pp. 603-609
Author(s):  
Farrukh Zulfiqar ◽  
Atiq Ahmed Khan ◽  
Muhammad Imran ◽  
Syed Ijlal Ahmed ◽  
Syeda Beenish Bareeqa ◽  
...  

Objectives: Our aim was to analyze the postoperative visual status in patientswith suprasellar tumors with preexisting preoperative visual deficit after surgical resection.Study Design: Comparative cross section study. Setting: Civil Hospital Karachi. Period:March 2013 to August 2016. Methods: A total of 107 patients with suprasellar tumors withpreoperative visual deficit who were operated. Either via transsphenoidal (43) or transcranial(64) approaches, were included in this case series. Sixty six patients had pituitary adenomas,24 had craniopharyngiomas, 13 had meningiomas, 3 had chordomas and 1 had epidermoidcyst. Twenty five patients had uniocular visual deficit and 82 had binocular. Visual acuity wasrecorded preoperatively, postoperatively at discharge and at four weeks follow-up. Results:Postoperatively 46% of eyes improved, while 34.4% and 19.6% remained same and deterioratedrespectively. Patients underwent transsphenoidal technique got significant 65% improvement,and those who underwent transcranial had 37.5% improvement (p-valve=0.005). Pituitaryadenomas showed the greatest visual improvement of 65% (p-value=0.000), followed bycraniopharyngiomas (33.5%) and meningiomas (7.6%). In total 52 patients (48.6%) showedimprovement in vision and the visual acuity of remaining 55 (51.4%) did not improve. Conclusion:Patients experience significant benefit in vision after decompressive surgery for suprasellartumors, especially those who have pituitary adenoma and who undergo transsphenoidaltechnique. 


2020 ◽  
Vol 27 (1) ◽  
pp. 9
Author(s):  
Maidah Hanif ◽  
Muhammad Azhar Sheikh

Introduction: Surgery of mandibular third molar teeth for removal is one of the most common procedures undertaken in oral and maxillofacial surgery departments. The complications created by the post extraction wound healing and physiological consecution of third molar surgery can affect patients' quality of life. Platelet rich plasma (PRP) is an autologous concentrate of platelets suspended in the Plasma that accelerates healing by concentration of growth factors which lessen the inflammation and as a result pain and trismus. Materials and methods: A Study was conducted on 130 patients at the department of Oral and Maxillofacial Surgery, FUCD Islamabad, for a period of 6 months after ethical approval. The patients with impacted mandibular wisdom teeth were selected and divided equally into two equal groups. The pain score was measured using the visual analogue scale (VAS) and trismus was measured using Vernier caliper before the surgery, immediately after surgery, on 3rd and 7th follow up visits. Results: The mean postoperative pain on 7th day was significantly lower in the PRP group with statistically significant P-value <0.0001. Trismus was also less reported in the PRP group with P-value <0.00065. Conclusion: Platelet Rich Plasma is effective to lessen trismus and pain after surgical removal of mandibular third molar teeth.


2020 ◽  
Vol 27 (03) ◽  
pp. 673-676
Author(s):  
Bushra Arain ◽  
Agha Taj Mohammed ◽  
Batool Bibi ◽  
Salman Shams

Objectives: To evaluate pattern and presentation of pyogenic granuloma in pregnant patients. Study Design: Descriptive study with non-probability purposive technique. Setting: Department of Oral & Maxillofacial Surgery Liaquat University hospital Hyderabad. Period: From February 2013 to January 2017. Material & Methods: A total number of fifty pregnant patients were included in the study and preliminary diagnosis of gingival pyogenic granuloma was made clinically. The clinical diagnosis was confirmed by excisional biopsy under local anesthesia (surgical procedure was done following consultation with primary care physician in second trimester or after parturition), and sent for histopathological examination. Removal of dental plaque performed before surgical therapy. Results: Most of the females involve were in age group of 21-30 (68%). Maxillary anterior region was most frequently involved followed by mandibular anterior region. The smallest size of lesion was 1.5mm and largest was 3cm. Conclusion: Pyogenic granuloma in pregnancy occur due to hormonal imbalance, however bacterial dental plaque, calculus and poor oral hygiene are also key factors in development.


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