scholarly journals Treatment Modalities of Odontogenic Keratocyst of Maxilla and Mandible: Our Experience

2015 ◽  
Vol 6 (4) ◽  
pp. 208-212 ◽  
Author(s):  
Parveen Akhter Lone ◽  
Mohan Singh ◽  
Harpreet Singh Johar
Keyword(s):  
Recurrence Rate ◽  
Maxillofacial Surgery ◽  
Surgical Excision ◽  
Odontogenic Keratocyst ◽  
Treatment Modalities ◽  
High Recurrence Rate ◽  
Oral And Maxillofacial Surgery ◽  
Anterior Maxilla ◽  
Radiographic Appearance ◽  
Maxilla And Mandible

ABSTRACT Background Odontogenic keratocyst (OKC) is known for its most aggressive behavior, high recurrence rate and is most common odontogenic cyst of the jaws. After completion of odontogenesis, some remnants of dental epithelium remain in oral cavity and variety of cysts and tumor can develop from this odontogenic epithelium the most common being odontogenic keratocyst. The most common site of occurrence of OKC reported is mandibular body and ramus region. Objectives The aim of this study is to report the other frequent site of occurrence, different size of OKC in mandible and maxilla and different treatment modalities depending on size, age, and extent of the lesion. Materials and methods Ten patients were selected among the patients referred to the department of oral and maxillofacial surgery with cystic lesions on mandible and maxilla. After making diagnosis treatment planning was done depending upon the age, radiographic appearance and size of the lesion. Results Odontogenic keratocyst was found more in males than females, was found more in mandible than maxilla. Majority of the cases were in mandible angle ramus region followed by anterior maxilla. Seventy-six percent cases were multilocular radiolucencies, whereas 24% unilocular. Multilocular radiolucencies were treated by wide surgical excision, hemimandibulectomy, whereas unilocular radiolucencies were treated by enucleation. Conclusion It is concluded that treatment of OKC depends upon age, radiographic and clinical extent of lesion, unilocular or multilocular appearance, presence of daughter cysts, recurrence rate. How to cite this article Lone PA, Singh M, Johar HS. Treatment Modalities of Odontogenic Keratocyst of Maxilla and Mandible: Our Experience. World J Dent 2015;6(4):208-212.

scholarly journals Dental Implant Placement with Simultaneous Anterior Maxillary Reconstruction with Block and Particulate Fresh Frozen Allograft Bone: A Case Report with 24-Month Follow-Up Data

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
J. S. Vieira ◽  
E. M. Brandão-Filho ◽  
F. R. Deliberador ◽  
J. C. Zielak ◽  
A. F. Giovanini ◽  
...  
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Clinical Success ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Allograft Bone ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Fresh Frozen ◽  
Fixed Prosthesis

Fresh frozen allograft bone is routinely used in orthopedic surgery for the reconstruction of large bone defects, and its use in oral and maxillofacial surgery is increasing. The purpose of this case was to demonstrate the installation of dental implants and the use of fresh frozen bone for reconstruction of anterior maxilla in the same surgery. This case report presents the insertion of dental implants followed immediately by a placement of fresh frozen allograft in block and particle for a reconstruction of atrophic anterior maxillary in the same surgery. Ten months subsequent to this procedure, provisional fixed prosthesis was installed on the implants. Four months later (postoperative month 14), the final fixed prosthesis was installed and the clinical success was observed. The insertion of dental implants followed immediately by a placement of fresh frozen allograft is a safe and efficient process that results in the successful return of dental function and aesthetic rehabilitation for the patient.

Evolution of Aesthetic Dentistry

2019 ◽  
Vol 98 (12) ◽  
pp. 1294-1304 ◽  
Author(s):  
M.B. Blatz ◽  
G. Chiche ◽  
O. Bahat ◽  
R. Roblee ◽  
C. Coachman ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Maxillofacial Surgery ◽  
Dental Materials ◽  
Specific Treatment ◽  
Point Of View ◽  
Treatment Modalities ◽  
Oral And Maxillofacial Surgery ◽  
The Past ◽  
Science And Art ◽  
Aesthetic Dentistry

One of the main goals of dental treatment is to mimic teeth and design smiles in a most natural and aesthetic manner, based on the individual and specific needs of the patient. Possibilities to reach that goal have significantly improved over the last decade through new and specific treatment modalities, steadily enhanced and more aesthetic dental materials, and novel techniques and technologies. This article gives an overview of the evolution of aesthetic dentistry over the past 100 y from a historical point of view and highlights advances in the development of dental research and clinical interventions that have contributed the science and art of aesthetic dentistry. Among the most noteworthy advancements over the past decade are the establishment of universal aesthetic rules and guidelines based on the assessment of natural aesthetic parameters, anatomy, and physiognomy; the development of tooth whitening and advanced restorative as well as prosthetic materials and techniques, supported by the pioneering discovery of dental adhesion; the significant progress in orthodontics and periodontal as well as oral and maxillofacial surgery; and, most recently, the implementation of digital technologies in the 3-dimensional planning and realization of truly natural, individual, and aesthetic smiles. In the future, artificial intelligence and machine learning will likely lead to automation of aesthetic evaluation, smile design, and treatment-planning processes.

scholarly journals Utility of Photodynamic Therapy in Dentistry: Current Concepts

2020 ◽  
Vol 8 (2) ◽  
pp. 43
Author(s):  
Anette Stájer ◽  
Szilvia Kajári ◽  
Márió Gajdács ◽  
Aima Musah-Eroje ◽  
Zoltán Baráth
Keyword(s):  
Photodynamic Therapy ◽  
Clinical Success ◽  
Maxillofacial Surgery ◽  
Treatment Method ◽  
Treatment Modalities ◽  
Oral And Maxillofacial Surgery ◽  
Invasive Treatment ◽  
Advantages And Disadvantages ◽  
Non Invasive ◽  
Wide Range

The significant growth in scientific and technological advancements within the field of dentistry has resulted in a wide range of novel treatment modalities for dentists to use. Photodynamic therapy (PDT) is an emerging, non-invasive treatment method, involving photosensitizers, light of a specific wavelength and the generation of singlet oxygen and reactive oxygen species (ROS) to eliminate unwanted eukaryotic cells (e.g., malignancies in the oral cavity) or pathogenic microorganisms. The aim of this review article is to summarize the history, general concepts, advantages and disadvantages of PDT and to provide examples for current indications of PDT in various subspecialties of dentistry (oral and maxillofacial surgery, oral medicine, endodontics, preventive dentistry, periodontology and implantology), in addition to presenting some images from our own experiences about the clinical success with PDT.

A Review of the Odontogenic Keratocyst and Report of a Case

2019 ◽  
pp. 1-7
Author(s):  
M. Chandra Sekhar ◽  
D. Ayesha Thabusum ◽  
M. Charitha ◽  
G. Chandrasekhar ◽  
M. Shalini
Keyword(s):  
Recurrence Rate ◽  
Cystic Lesion ◽  
Soft Tissues ◽  
Clinical History ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Clinical Behavior ◽  
Clinical Appearance ◽  
Odontogenic Origin ◽  
Aggressive Clinical Behavior

The Odontogenic keratocyst (OKC) is a developmental, non – inflammatory chronic cystic lesion, on radiograph it may be unilocular or multi locular OKC is a cyst of odontogenic origin, usually asymptomatic with an aggressive clinical behavior including a high recurrence rate and tendency to invade bone and adjacent soft tissues. Diagnosis is based on the clinical history, clinical appearance, and radiographs and histology. A case of odontogenic keratocyst involving the ramus of the mandible is presented in this article emphasizing on the characteristics and various features of OKC.

scholarly journals Comparison of functional outcome after open and closed reduction of mandibular subcondylar fracture

2020 ◽  
pp. 1-12
Author(s):  
Samira Shabbir Balouch ◽  
Rana Sohail ◽  
Sadia Awais ◽  
Riaz Ahmad Warraich ◽  
Mir Ibrahim Sajid
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Treatment Modalities ◽  
Oral And Maxillofacial Surgery ◽  
Subcondylar Fracture ◽  
Group A ◽  
Group B

Abstract Objective: To compare open reduction with internal fixation of mandibular subcondylar fracture with closed reduction in terms of adequate mouth opening. Method: The randomised clinical trial was conducted from March 2014 to February 2015 at the Oral and Maxillofacial Surgery Department, King Edward Medical University and Allied Hospitals, Lahore, Pakistan, and comprised patients who presented with unilateral subcondylar fractures. The patients were randomly divided into 2 groups. Group-A patients were treated with closed reduction and immobilisation and were discharged the same day, while Group-B patients were treated by open reduction with internal fixation and retained in ward for 1 day. Both were recalled for periodic follow-ups, and were compared in terms of achieving adequate mouth opening. Data was analysed using SPSS 20. Results: Of the 70 patients, 35(50%) were in each of the two groups. The mean age in Group-A was 28.88±11.86 years compared to 28.22±10.80 years in Group-B (p>0.05). Mean mouth opening in  the two groups were consistently positive, and significant at the last two follow-ups(p<0.001). Conclusion: The difference in results of both treatment modalities was significant, indicating that open reduction and internal fixation should be the preferred treatment. Key Words: Mandibular sub-condylar fracture, Open reduction, Closed reduction, Internal fixation, Mouth opening.

scholarly journals Outcome of Surgical Excision for Managing the Oral Pyogenic Granuloma

2021 ◽  
pp. 127-133
Author(s):  
Ameer Gul ◽  
Muhammad Shahzad ◽  
Ali Raza Abbasi ◽  
Tariq Hussain Shaikh ◽  
Taimoor Ali Khan ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Removal ◽  
Moderate Pain ◽  
Mild Pain ◽  
Valuable Procedure ◽  
History Of ◽  
Surgery Department

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.

scholarly journals Compound odontoma with unususal number of denticles- a case report

2020 ◽  
Vol 10 (2) ◽  
pp. 81-83
Author(s):  
Vivek Singh ◽  
Jasmeet Singh
Keyword(s):  
Case Report ◽  
Maxillofacial Surgery ◽  
Permanent Tooth ◽  
Oral And Maxillofacial Surgery ◽  
Odontogenic Tumour ◽  
Anterior Maxilla ◽  
Patient Reported ◽  
Compound Type ◽  
Slow Growing ◽  
Compound Odontoma

The term odontoma refers to hamartomatous lesions (malformations) rather than true neoplasms. They are the most common odontogenic tumour of jaws. They are slow growing in nature. Miss­ing permanent tooth or retained deciduous tooth brings the patient to the clinician usually dur­ing second decade of life. Two types of odontomas has been described: complex and compound. The compound type is more common and frequently found in the anterior maxilla. A 15-year-old male patient reported to department Oral and Maxillofacial Surgery, with missing permanent right central and lateral incisor with retained deciduous in place. Intraoral radiographs were done and multiple small denticles were seen. A total of 39 denticles of various sizes were enucleated from the lesion making this case very unusual.

scholarly journals Use of Triamcinolone in keloid

2021 ◽  
Author(s):  
Shwetha B. ◽  
Sathyaki D. C.
Keyword(s):  
Recurrence Rate ◽  
Tertiary Care ◽  
Surgical Excision ◽  
Weekly Interval ◽  
Treatment Modalities ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Triamcinolone Injection

<p class="abstract"><strong>Background:</strong> Keloids are well known for recurrence. There is no standardized regimen for the treatment of keloids. Many different treatment modalities such as surgical excision, intralesional corticosteroids, radiotherapy, and pressure earrings have been used for keloids. Surgical excision alone may result in recurrence rate of 40-100%. Many different modalities of treatment have been tried to prevent recurrence. Aims and objectives of the study was to evaluate the efficacy of Triamcinolone in preventing recurrence of Keloid.</p><p class="abstract"><strong>Methods: </strong>40 patients who underwent excision of keloid at a tertiary care centre. Surgery alone was performed in 20 patients and surgery with post operative intra lesional Triamcinolone injection was given weekly interval for 6 weeks in another 20 patients. Patients were followed up for the period of 2 years</p><p class="abstract"><strong>Results: </strong>Recurrence was found in 5 patients who underwent excision alone and there was no recurrence among patients who received post operative intra lesional triamcinolone.</p><p class="abstract"><strong>Conclusions: </strong>Multi modality treatment is better to prevent recurrence of Keloid.</p>

Prevalence and pattern of oral and maxillofacial trauma in Chhattisgarh- A retrospective study

2021 ◽  
Vol 7 (3) ◽  
pp. 131-134
Author(s):  
Sushmita Batra ◽  
Surabhi Singhai ◽  
Pramod Krishna B ◽  
Rajdeep Singh ◽  
Sushant Soni
Keyword(s):  
Maxillofacial Surgery ◽  
The Body ◽  
Maxillofacial Trauma ◽  
Treatment Modalities ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
High Morbidity ◽  
Maxillofacial Injuries ◽  
Facial Region ◽  
Clinical Records

Maxillofacial trauma is any physical trauma to the facial region, commonly encountered by maxillofacial surgeons, and is often associated with high morbidity and so constitute quite a significant portion of the workload of the oral and maxillofacial surgeon. Maxillofacial injuries can occur as an isolated injury or may be associated with multiple injuries in other parts of the body. To assess the patterns, etiology, and treatment modalities of maxillofacial trauma in a teaching hospital in central India, over a 12-year period. Patients with maxillofacial trauma were identified using the department database and clinical records. 264 patients were identified with maxillofacial trauma in the department of oral and maxillofacial surgery between January 2006 and December 2018. The study showed that there was a male preponderance in all age groups over female. Of the 264 patients with maxillofacial injuries, 83,33% had isolated lower face (mandibular) fractures, followed by midface fractures (10.60%) and panfacial fractures (6.06%). Road traffic accidents (87.12%) were the most common form of etiology for trauma followed by assaults (10.98%). Most trauma were treated with open reduction internal fixation (89%) than closed reduction (11%). The etiology and pattern of maxillofacial injuries reflect the trauma patterns within the community and can thus provide a guide to help design programs toward prevention and treatment.

Immediate Implants After Enucleation of an Odontogenic Keratocyst: An Early Return to Function

2012 ◽  
Vol 38 (S1) ◽  
pp. 485-488 ◽  
Author(s):  
Sabri C. Isler ◽  
Sabit Demircan ◽  
Taylan Can ◽  
Zerrin Cebi ◽  
Emrah Baca
Keyword(s):  
Aggressive Behavior ◽  
Dental Implants ◽  
Recurrence Rate ◽  
Male Patient ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Histologic Appearance ◽  
Early Return ◽  
Immediate Implants

An odontogenic keratocyst is a unique cyst because of its locally aggressive behavior, high recurrence rate, and characteristic histologic appearance. In this article we present the case of a 22-year-old male patient with a large odontogenic keratocyst and describe his treatment with immediate dental implants.

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