Influence of Trans-operative Complications on Socket Healing Following Dental Extractions

Abstract Aim Extraction healing complications have been attributed to several factors. The influence of trans-operative complications on an extraction site wound healing was the focus of this investigation. Methods and Materials This prospective study was conducted at the Oral Surgery Clinic of the Department of Oral and Maxillofacial Surgery of the Lagos University Teaching Hospital (LUTH) in Nigeria . Subjects selected were those referred for one or two adjacent extractions and who satisfied the inclusion criteria for the study. The relevant pre-operative information recorded for each patient were age and sex of patient, indications for extraction, time taken to extract the tooth, tooth/teeth removed, and any trans-operative complications. Extractions were performed with dental forceps, elevators, or both under local anaesthesia. Patients were blindly evaluated on the third and seventh post-operative day for socket healing assessment without reference to preoperative information on the patients. Results Seventy-three (24.25%) of 301 teeth considered for socket healing assessment had various transoperative complications due to accidental crown, root, or alveolar bone fractures. Of the 73 extractions with trans-operative complications during extraction, 18 developed a socket healing complication, while 17 of the 228 extractions without trans-operative complications developed socket healing complications (p = .000). The mean (SD) time taken to extract teeth developing healing complications was also found to be significantly longer than those without healing complications (p < .01). Conclusions The study demonstrated the combination of tooth/bone fragments in the socket and increased time of extraction due to trans-operative complications and accidents predispose to the development of extraction site wound healing disturbance. Citation Adeyemo WL, Ladeinde AL, Ogunlewe MO. Influence of Trans-operative Complications on Socket Healing Following Dental Extractions. J Contemp Dent Pract 2007 January;(8)1:052-059.

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Mandibular Bone Fractures in elderly patients with reference to etiology of trauma

10.53350/pjmhs211581920 ◽

2021 ◽

Vol 15 (8) ◽

pp. 1920-1922

Author(s):

Nabeela Riaz ◽

Samreen Younas ◽

Ijaz Ur Rehman ◽

Ahmad Abdul Haseeb ◽

Saba Hanif ◽

...

Keyword(s):

Elderly Patients ◽

Traffic Accidents ◽

Road Traffic ◽

Bone Fractures ◽

Financial Burden ◽

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery ◽

Mandibular Fractures ◽

Mandibular Bone ◽

Mandibular Injuries

Aim: to explore the mandibular bone fractures in elderly patients with reference to etiology of trauma. Methodology: This was a descriptive study conducted in the department of Oral and Maxillofacial Surgery KEMU/ Mayo Hospital Lahore. Elderly patients (age 60-100years) with mandibular bone fractures. Results: Aetiology of trauma leading to mandibular fractures was as follows; there were 79(65.83%) cases of RTA, 32(26.66%) falls, 4(3.33%) assaults and there were only 3(2.5%) cases of industrial injury. Conclusion: To conclude, this study depicts that road traffic accidents were the predominant cause of injury in the studied age group. Elderly patients need more care and attention, especially after traumatic incidents and lead to financial burden in hospitals Keywords: Maxillofacial trauma, Elderly population, Mandibular injuries, Elderly fractures

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Antiseptic negative pressure instillation therapy for the treatment of septic wound healing deficits in oral and maxillofacial surgery

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/j.jcms.2018.12.006 ◽

2019 ◽

Vol 47 (3) ◽

pp. 389-393 ◽

Cited By ~ 2

Author(s):

Fabian Matthias Eckstein ◽

Valesca Pinsel ◽

Matthias Christian Wurm ◽

André Wilkerling ◽

Eva-Maria Dietrich ◽

...

Keyword(s):

Wound Healing ◽

Negative Pressure ◽

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery ◽

Instillation Therapy ◽

Septic Wound

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Interrelation between facial soft tissue lessions, underlying fracture patterns and treatment of zygomatic bone trauma: a 10 year retrospective study

10.21203/rs.3.rs-44138/v2 ◽

2020 ◽

Author(s):

Juncar Raluca Iulia ◽

Paul Andrei Tent ◽

Juncar Mihai ◽

Arghir Ioan Anton ◽

Arghir Cristina Oana ◽

...

Keyword(s):

Soft Tissue ◽

Bone Fractures ◽

Maxillofacial Surgery ◽

Fracture Pattern ◽

Oral And Maxillofacial Surgery ◽

Facial Soft Tissue ◽

Nominal Data ◽

Correct Treatment ◽

Zygomatic Bone ◽

Zygomatic Fracture

Abstract Background: The pattern of zygomatic bone fractures varies in the literature, their features being frequently masked by the presence of associated soft tissue lesions. In this context the clinical diagnosis and the therapeutic indications can be difficult. The aim of this study was to evaluate the clinical features of zygomatic bone fractures and their interrelation with concomitant overlying soft tissue injuries, as well as to assess the type of treatment methods applied depending on the fracture pattern and the results achieved depending on the incidence rate of postoperative complications. We will use these results in order to improve the diagnosis and the establishment of correct treatment of this pathology. Methods: A 10-year retrospective evaluation of midface fractures was performed in patients diagnosed and treated in a tertiary Clinic of Oral and Maxillofacial Surgery. Statistical analysis was performed with the MedCalc Statistical Software version 19.2 (MedCalc Software bvba, Ostend, Belgium;53 https://www.medcalc.org; 2020). Nominal data were expressed as frequency and percentage. The comparisons of the frequencies of a nominal variable among the categories of another nominal variable were made using the chi-square test. Multivariate logistic regressions were used in order to establish the independent association between variables and lacerations/excoriations. After using the Bonferroni correction for multiple comparisons, a value of p<0.025 was considered statistically significant.Results: The study included 242 patients with zygomatic bone fractures. The majority of the fractures were displaced n=179 (73.9%), closed n=179 (73.9%) and complete n=219 (90.5%). Hematoma was the most frequent associated soft tissue lesion n=102 (42.1%) regardless of the fracture pattern (p=1.000). Complete zygomatic fracture (OR – 2.68; p=0.035) and fractures with displacement (OR – 3.66; p=0.012) were independently associated with the presence of laceration. Fractures with displacement (OR – 7.1; p=0.003) were independently associated with the presence of excoriation. The most frequent type of treatment applied was Gillies reduction (61.9%), followed by ORIF (30.9%). The most frequent postoperative complication was malunion secondary to Gillies treatment (4,6%). Conclusions: Patients presenting lacerations and excoriations on clinical soft tissue examination will most frequently have an underlying complete, displaced or comminuted zygomatic fracture. In the case of displaced, open or comminuted fractures we achieved the best results secondary to ORIF treatment method, while in the case of non-displaced and closed fractures, the best results achieved were secondary to conservative treatment.

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Health Information Seeking Through Social Media and Search Engines by Parents of Children With Orofacial Cleft in Nigeria

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665619884447 ◽

2019 ◽

Vol 57 (4) ◽

pp. 444-447

Author(s):

Adegbayi Adeola Adekunle ◽

Olutayo James ◽

Wasiu Lanre Adeyemo

Keyword(s):

Social Media ◽

Support Groups ◽

Search Engines ◽

Information Seeking ◽

Maxillofacial Surgery ◽

Population Data ◽

University Teaching ◽

Oral And Maxillofacial Surgery ◽

Sample Population ◽

Orofacial Cleft

Objective: To ascertain the level of utilization of social media platforms and search engines by parents of children with orofacial cleft presenting to our clinic, with respect to information seeking about the condition and its treatment. Materials and Methods: All consenting parents of children attending the cleft outpatient clinic of the Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Idi-Araba, Lagos, within the study period were included in the sample population. Data collection was done using a 17-item interviewer-administered questionnaire. Results: A total of 50 parents participated in the study. Eighty-eight percent first sought information about their child’s condition from hospital medical staff. Sixty-eight percent of the parents are active users of social media for general purposes, with Facebook being the most used platform (62%). Forty percent of the total respondents have used search engines/social media to seek information on their child’s condition, with majority of those (80%) using Google to search for such information, 35% of the search was in relation to diagnosis, and 75% of the parents considered the information obtained very useful. Only 3 parents reported being part of a social media support group based on their child’s condition. Conclusion: The use of Internet resources for information seeking among the population studied is low. There is need to leverage on social media to provide support groups for families with children who have cleft.

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Clinico-epidemiologic review of 91 cases of non-odontogenic sarcomas of the orofacial region in a Nigerian population

Polski Przegląd Otorynolaryngologiczny ◽

10.5604/01.3001.0012.8109 ◽

2019 ◽

Vol 8 (2) ◽

pp. 25-31 ◽

Cited By ~ 1

Author(s):

ROWLAND AGBARA ◽

BENJAMIN FOMETE ◽

KELVIN OMEJE ◽

POLYCARP ONYEBUCHI

Keyword(s):

Malignant Tumors ◽

Maxillofacial Surgery ◽

Osteogenic Sarcoma ◽

University Teaching ◽

Oral And Maxillofacial Surgery ◽

Female Ratio ◽

Oncological Treatment ◽

Orofacial Region ◽

Surgery Department

Introduction: Sarcomas are a rare group of malignant tumors. This study highlights important findings in 91 cases of non-odontogenic sarcomas of the orofacial region. Materials and Methods: Patients who presented with orofacial sarcoma at the Oral and Maxillofacial Surgery Department of a regional University Teaching Hospital between January 1997 and June 2017 were retrospectively studied. Excluded were cases of Kaposi and odontogenic sarcomas. Data obtained were analyzed using the Statistical Package for Social Sciences (SPSS) version 16 (SPSS Inc., Chicago, IL, USA). Results from descriptive statistics were represented in the form of charts. Results: A total of 91 cases were reviewed and consisted of 51 (56.0%) males and 40 (44.0%) females, with a male to female ratio of 1.3:1. The mandible (n=47; 51.6%) and the maxilla (n=26; 28.6%) were the major sites involved. Osteogenic sarcoma (n=44; 48.4%) and rhabdomyosarcoma (n=16; 17.6%) occurred more frequently. A total of 41 (45.1%) patients had surgery and the common hard tissue procedures were mandibulectomy (n=26; 28.6%) and maxillectomy (n=10; 11.0%). Non-surgical oncological treatment was administered to 32 (35.2%) patients, and this was the only modality of treatment in 8 (8.8%) cases. The period of follow-up Arranged from 1-43 months and within this period; there were 7 (17.1%) recurrences with 1 case of pulmonary metastasis. Discussion: Most recurrences were noted less than one-year post-treatment. There is a tendency for patients to present late and compliance with follow up review is poor in this environment.

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The Development of Large Radicular Cysts in Endodontically Versus Non-Endodontically Treated Maxillary Teeth

Medicina ◽

10.3390/medicina57090991 ◽

2021 ◽

Vol 57 (9) ◽

pp. 991

Author(s):

Ruth Schvartzman Cohen ◽

Tomer Goldberger ◽

Ina Merzlak ◽

Igor Tsesis ◽

Gavriel Chaushu ◽

...

Keyword(s):

Clinical Presentation ◽

Alveolar Bone ◽

Clinical Symptoms ◽

Demographic Data ◽

Maxillofacial Surgery ◽

Endodontic Treatment ◽

Oral And Maxillofacial Surgery ◽

Maximal Dimension ◽

Endodontically Treated Teeth ◽

The Mean

Background and Objectives: Large radicular cysts of the maxilla present a clinical challenge, as they may cause recurrent infection, severe alveolar bone loss and disruption of the nasal and maxillary sinus floors. The aim of this study was to evaluate the effect of previous root canal treatment on the clinical presentation of large maxillary radicular cysts. Materials and Methods: All cases of radicular cysts treated at the Oral and Maxillofacial Surgery Department of a tertiary public hospital over a period of six years (2012–2018) were evaluated. Histologically confirmed radicular cysts of the maxilla with a maximal dimension of over 15 mm were included. Demographic data of the patients, clinical presentation and radiographic features of the lesions were analyzed. Results: A total of 211 inflammatory cysts were treated in the study period, of these 54 histologically diagnosed radicular cysts in the maxilla were found to have a maximal dimension of over 15 mm. The mean age of patients with large maxillary radicular cysts was 43.3 years, 57.6% of which were male and 42.4% female. The lateral incisor was the most common tooth affected (46.3%). The mean size of the large radicular cysts was 25 mm. Then, 83.8% of the cysts were observed in teeth with previous endodontic treatment. Teeth without endodontic treatment presented clinically with significantly fewer acute symptoms in comparison to teeth with previous endodontic treatment. Conclusions: the vast majority (83.8%) of large maxillary radicular cysts were associated with endodontically treated teeth. Previous endodontic treatment was correlated to increased frequency of clinical symptoms.

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Tratamento cirúrgico de fratura do complexo zigomatico orbital em paciente vítima de acidente desportivo: relato de caso

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v9i6.4925 ◽

2020 ◽

Vol 9 (6) ◽

pp. 527-530

Author(s):

José Jhenikártery Maia de Oliveira ◽

Micaella Fernandes Farias ◽

Flaviana Laís Pereira dos Santos ◽

Artemisa Fernanda Moura Ferreira ◽

Lucas Alexandre de Morais Santos

Keyword(s):

Bone Fractures ◽

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery ◽

Facial Fractures ◽

Porto Alegre ◽

Maxillofacial Fractures ◽

Facial Edema ◽

Nigerian Population ◽

Non Surgical Treatment

Introdução: Fraturas no complexo zigomático orbital podem resultar em deslocamento ósseo com alteração do volume orbital e distúrbios funcionais. As complicações associadas aos traumas dessa região podem vir a interferir diretamente na qualidade de vida do indivíduo, dessa forma, faz-se necessário a cirurgia de reposicionamento anatômico do osso. Objetivo: Relatar um caso clínico de fratura do complexo zigomático orbital em paciente vítima de acidente desportivo. Relato de caso: Paciente do sexo masculino, leucoderma, vítima de acidente desportivo, compareceu a um serviço de Cirurgia Bucomaxilofacial da cidade de Recife-PE, apresentando alterações anatômicas visíveis na região zigomática do lado esquerdo da face. Ao exame clínico observou-se assimetria facial, edema, equimose periorbital, hemorragia subconjuntival, perda de volume do lado afetado e desconforto relado pelo paciente, sugerindo fratura do complexo zigomático orbital. A Tomografia Computadorizada mostrou perda da projeção anteroposterior do corpo do osso zigomático esquerdo, com fratura no arco zigomático e descontinuidade da sutura esfenozigomática esquerdas. O corte tomográfico coronal evidenciou aprisionamento do conteúdo orbital por fragmentos presentes no assoalho da órbita, e fratura do pilar zigomático-maxilar. Através de acessos cirúrgicos peri-orbitais (superciliar e subtarsal) foi instalada 1 mini-placa com parafusos (1 em cada acesso), nas regiões da sutura fronto-zigomática e da margem infraorbital. Pelo acesso intraoral foi fixada uma placa no pilar zigomático-maxilar. O tratamento cirúrgico buscou acesso ao esqueleto da órbita, redução anatômica e fixação interna estável com mini-placas e parafusos. Considerações finais: Após 10 dias, observou-se o restabelecimento anatômico da projeção anteroposterior do osso zigomático direto, procedendo à melhora estético-funcional. Descritores: Anatomia Regional; Traumatologia; Fraturas Orbitárias. Referências Obimakinde OS, Ogundipe KO, Rabiu TB, Okoje VN. Maxillofacial fractures in a budding teaching hospital: a study of pattern of presentation and care. Pan Afr Med J. 2017;26:218. Ugboko V, Udoye C, Ndukwe K, Amole A, Aregbesola S. Zygomatic complex fractures in a suburban Nigerian population. Dent Traumatol. 2005;21(2):70-5. Zamboni RA, Wagner JCB, Volkweis MR, Gerhardt EL, Buchmann EM, Bavaresco CS. Epidemiological study of facial fractures at the Oral and Maxillofacial Surgery Service, Santa Casa de Misericordia Hospital Complex, Porto Alegre - RS - Brazil. Rev Col Bras Cir. 2017;44(5):491-97. Ramos JC, Almeida MLD, Alencar YCG, de Sousa Filho LF, Figueiredo CHMC, Almeida MSC. Estudo epidemiológico do trauma bucomaxilofacial em um hospital de referência da Paraíba. Rev Col Bras Cir. 2018;45(6):e1978. Wulkan M, Parreira Junior JG, Botter DA. Epidemiologia do trauma facial. Rev Assoc Med Bras. 2005;51(5):290-95. Knight JS, North JF. The classification of malar fractures: an analysis of displacement as a guide to treatment. Br J Plast Su1961;13:325-39. Mendonça JCG, Crivelli DMB. Tratamento de fratura cominutiva do complexo zigomático orbitário com utilização de fio de aço: relato de caso. Rev Bras Cir Cabeça Pescoço. 2012; 41(2):93-5. Hupp JR, Tucker MR, Ellis E.Cirurgia oral e maxilofacial contemporânea. 6. ed. Rio de Janeiro: Elsevier; 2015. p. 1099-1113. Oliva MA. Acesso subciliar para fraturas do complexozigomático-orbitári. Rev Bras Cir Cabeça Pescoço. 2013;42(2):106-8. Soares LP, Gaião L, Santos MESM, Pozza DH, Oliveira MG. Indicações da Tomografia Computadorizada no Diagnóstico das Fraturas Nasoórbito-etmoidais. Rev de Clin Pesq Odontol. 2004;1(1):29-33. Kurita M, Okazaki M, Ozaki M, Tanaka Y, Tsuji N, Takushima A, et al. Patient satisfaction after open reduction and internal fixation of zygomatic bone fractures. J Craniofac Surg .2010;21(7):45–9. Hammer B. Fraturas orbitárias: Diagnóstico, tratamento cirúrgico, correções secundárias. São Paulo: Santos; 2005. Panarello F, Chaves Júnior AC, Leles JLR, Oliveira MG. Análise dos materiais empregados para a reconstrução das fraturas orbitárias – Revisão de literatura. RBC: Rev Int Cir Traumatol Bucomaxilofacial. 2005;3(9):57-64. Kloss FR, Stigler RG, Brandstätter A, Tuli T, Rasse M, Laimer K, Hächl OL, Gassner R. Complications related to midfacial fractures: operative versus non-surgical treatment. Int J Oral Maxillofac Surg. 2011;40(1):33-7. Liedtke FS, Richinho KP, Pisanelli CH, Araf D. Fraturas do soalho da órbita do tipo ‘’Blow-out”: revisão de literatura. Revicience 2005;5(5):8-11.

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In the emergency department

10.1093/med/9780198767817.003.0004 ◽

2018 ◽

Author(s):

Luke Cascarini ◽

Clare Schilling ◽

Ben Gurney ◽

Peter Brennan

Keyword(s):

Soft Tissue ◽

Bone Fractures ◽

Maxillofacial Surgery ◽

Soft Tissue Injuries ◽

Oral And Maxillofacial Surgery ◽

Mandibular Fractures ◽

Soft Tissue Infections ◽

Penetrating Injuries ◽

Orbital Floor Fractures ◽

Zygomatic Fractures

This chapter discusses oral and maxillofacial surgery in the A&E department, including, The paediatric OMFS patient, Overview of maxillofacial trauma, Mandibular fractures, Zygomatic fractures, Orbital floor fractures, Maxillary fractures, Nose, naso-ethmoidal, and frontal bone fractures, Face and scalp soft tissue injuries, Penetrating injuries to the neck, Intra-oral injuries, Dento-alveolar trauma, Dento-alveolar infections, Post-extraction complications, Head and neck soft tissue infections, Salivary gland diseases, and Miscellaneous conditions

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COMPARISON OF POST EXTRACTION SOCKET HEALING WITH AND WITHOUT USING PLATELET RICH FIBRIN (PRF) – A CLINICAL AND RADIOGRAPHIC STUDY

10.36106/ijsr/0702367 ◽

2021 ◽

pp. 62-65

Author(s):

S.P. Indra Kumar ◽

Kavin T ◽

Narendar R ◽

E. Gayathri Priyadharshini ◽

Akshaya murugan ◽

...

Keyword(s):

Soft Tissue ◽

Maxillofacial Surgery ◽

Test Group ◽

Control Group ◽

Oral And Maxillofacial Surgery ◽

Soft Tissue Healing ◽

Extraction Socket ◽

Platelet Rich Fibrin ◽

Tissue Healing ◽

Socket Healing

AIM: The aim of this study is to comparatively evaluate the post extraction socket healing clinically and radiographically with and without using Platelet Rich Fibrin (PRF). MATERIALS AND METHODS: Fifty, otherwise healthy individuals undergoing dental treatment in the department of Oral and Maxillofacial surgery, Vivekananda Dental College for women, Thiruchengode, were randomly selected and the participants were divided into two groups – test group(PRF, n=25) and control group (Blood clot, n=25). Blood was freshly obtained from the participants of the test group and PRF was prepared. PRF was placed in the sockets of the test group and followed by the pressure application and suturing. Control group were allowed to heal naturally. Clinically, soft tissue healing and socket closure were assessed. Radiographic analysis of socket healing done by comparison of pre- and post-operative radiographs. The clinical follow-up assessments were done at an interval of 3 days, 1 week and 4 weeks and the data obtained were assessed. The patients were aged above 18 years, i RESULT: ncluding 33 females and 17 males. The soft tissue and socket healing were higher in the test group when compared with the control group clinically and the mean proportion of radiographic bone ll was signicantly higher in the test group in all the time intervals of 3 days, 1 week and 4 weeks, respectively. Outcome of the study CONCLUSION: demonstrate that the PRF placement in the extraction socket accelerates soft tissue healing and socket healing and increases the bone ll and reduces the bone resorption using clinical and radiographic methods.

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Evaluation Of Clinical Features And Treatment Of Zygomatic Bone Fractures: A 10-Year Retrospective Study

10.21203/rs.3.rs-44138/v1 ◽

2020 ◽

Author(s):

Juncar Raluca Iulia ◽

Paul Andrei Tent ◽

Juncar Mihai ◽

Arghir Ioan Anton ◽

Arghir Cristina Oana ◽

...

Keyword(s):

Soft Tissue ◽

Clinical Features ◽

Bone Fractures ◽

Maxillofacial Surgery ◽

Treatment Method ◽

Fracture Pattern ◽

Oral And Maxillofacial Surgery ◽

Correct Treatment ◽

Zygomatic Bone ◽

Soft Tissue Lesions

Abstract Background The pattern of zygomatic bone fractures varies in the literature, their features being frequently masked by the presence of associated soft tissue lesions, which make clinical diagnosis and therapeutic indications difficult. The aim of this study was to evaluate the clinical features of zygomatic bone fractures and their interrelation with concomitant overlying soft tissue lesions, in order to improve the diagnosis and the establishment of the correct treatment. We also aimed to assess the type of treatment methods applied depending on the fracture pattern of the zygomatic bone, as well as their effectiveness depending on the incidence rate of postoperative complications. Methods A 10-year retrospective evaluation of midface fractures was performed in patients diagnosed and treated in a tertiary Clinic of Oral and Maxillofacial Surgery. Results The study included 242 patients with zygomatic bone fractures. The majority of the fractures were displaced n = 179 (73.90%), closed n = 179 (73.90%) and complete n = 219 (90.50%). Hematoma was the most frequent associated soft tissue lesion n = 102 (42.15%) regardless of the fracture pattern (p = 1.000). The incidence of lacerations and excoriations was statistically higher in the case of complete (laceration p = 0.0028/ excoriation p = 0.037), displaced and comminuted zygomatic fractures (laceration p = 0.015/ excoriation p = 0.001). The most frequent type of treatment applied was Gillies reduction (61.98%), followed by ORIF (30.99%). The most frequent postoperative complication was malunion secondary to Gillies treatment (p = 002). Conclusions Patients presenting lacerations and excoriations on clinical soft tissue examination will most frequently have an underlying complete, displaced or comminuted zygomatic fracture. The most effective treatment method in the case of displaced, open or comminuted fractures was ORIF, while in the case of non-displaced and closed fractures, conservative treatment was the most effective.

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