Comparison of Iodoform and Paraminobenzoate for The Managment of Dry Socket

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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Use of chlorhexidine 0.2% gel to prevent alveolar osteitis in mandibular third molar surgical extraction.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.08.4264 ◽

2020 ◽

Vol 27 (08) ◽

pp. 1606-1611

Author(s):

Shuja Hamid ◽

Mahwish Memon ◽

Raza Ali ◽

Salman Shams

Keyword(s):

Maxillofacial Surgery ◽

Third Molar ◽

Mouth Opening ◽

Control Group ◽

Dry Socket ◽

Mandibular Third Molar ◽

Surgical Extraction ◽

Alveolar Osteitis ◽

Group A ◽

Group B

Objectives: To evaluate the efficacy of 0.2% chlorhexidine gel placed intra alveolar in the prevention of alveolar osteitis after the surgical extraction of mandibular third molar. Study Design: Randomized Control trial. Setting: Department of Oral and Maxillofacial Surgery, LUMHS, Jamshoro/Hyderabad. Period: January 2016 to July 2016. Material & Methods: This study consisted of 40 patients in control group A and 40 patients of Chlorohexidine gel group B used after surgical extraction. A single dose of 0.2% bio-adhesive gel was introduced in group B while the control group A was left alone. Postoperative complications like pain, swelling, limited mouth opening, and dry socket were seen. Frequency and percentages were calculated. Mean +/- SD were calculated for quantitative variables. Results: On 3rd day patients reported with pain in group A were 24 and in group B were 15. Pain was seen in 4 patients (10%) on 15th day in group A while in group B no patient came with pain. 19 patients reported with dry socket on day 3 in group A and 4 patients in group B, While none of the patient encountered with Dry socket on 15th day in group in both groups. Conclusion: The data presented indicates that the bio-adhesive gel containing 0.2% chlorohexidine, applied post-extraction produced a better patient recovery.

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

Journal of the Pakistan Medical Association ◽

10.47391/jpma.1263 ◽

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.

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Prevention of dry socket in mandibular 3rd molars by means of single preoperative oral dose of metronidazole and amoxicillin compared to conventional therapy

Journal of the Pakistan Medical Association ◽

10.47391/jpma.09-1107 ◽

2021 ◽

pp. 1-9

Author(s):

Tahseen shabbir Khooharo ◽

Sayed Umer Hassan ◽

Abdul Hafeez Shaikh ◽

Admin

Keyword(s):

Oral Dose ◽

Conventional Therapy ◽

Therapy Group ◽

Maxillofacial Surgery ◽

P Value ◽

Oral And Maxillofacial Surgery ◽

Double Blind ◽

Dry Socket ◽

Surgical Extraction ◽

Present Trial

Abstract Objective: To compare the efficacy of metronidazole and amoxicillin as preoperative single dose treatment with conventional therapy in prevention of dry socket. Methods: A double blind randomized control trial; patients attending the oral and maxillofacial surgery OPD at DUHS Karachi requiring surgical extraction of madibular 3rd molar during October 2018 till April 2019 were randomly divided into 3 groups. Ethical approval was taken from Institutional Review Board of DUHS Karachi. Consent from patients was also taken. First group was given single preoperative oral dose of 400mg metronidazole one hour before extraction, second group was treated with single oral dose of 500mg amoxicillin an hour before tooth extraction, and both of the groups were given painkillers postoperatively. Third group was given 500mg of Amoxicillin BD, 400mg of metronidazole and painkillers postoperatively. Every group had a follow-up on fifth postoperative day. Results: Dry socket was reported among 19 patients (8.4 %) amongst them 4 were males and 15 were females. Chi-square test was used to calculate the p-value (0.066). Results of the present trial were statistically insignificant. Incidence of dry socket in amoxicillin group was 3 (5.5%), in metronidazole was 4 (7.5) and in conventional therapy group was 12(16%). Conclusion: Present trial was not effective in preventing the occurrence of dry socket by means of single preoperative oral dose of metronidazole and amoxicillin compared to conventional therapy. However, clinically percentage of occurrence of dry socket was higher in conventional group compared to amoxicillin and metronidazole group. Clinical Trial Number: NCT03992144. Continuous...

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Comparison of Alveolar Osteitis (AO) occurrence after impacted mandibular third molar removal with and without post-extraction socket irrigation

Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University ◽

10.48036/apims.v17i3.423 ◽

2021 ◽

Vol 17 (3) ◽

pp. 211-215

Author(s):

Fatema Awan ◽

Manahil Rahat ◽

Muhammad Jamal ◽

Saniya Sohail ◽

Khalid Mahmood Siddiqi ◽

...

Keyword(s):

Third Molar ◽

Extraction Socket ◽

Dry Socket ◽

Number Of Patients ◽

Mandibular Molar ◽

Significant Difference ◽

Alveolar Osteitis ◽

Group A ◽

Group B ◽

Mandibular Third Molars

Objective: We wanted to see whether impacted third mandibular molar extractions resulted in Alveolar Osteitis if post-extraction socket irrigation was used or not. Methodology: A randomized control experiment on 70 patients study was conducted from July 2019 to January 2020 at Islamabad Dental Hospital's OMFS department. Patients presenting with the mandibular third molars fulfilling the inclusion criteria had their teeth extracted with and without socket irrigation using the computer lottery method. In cases of dry socket, clinical diagnosis was made between the 3rd, 5th, and 7th postoperative days. Results: 70 patients/sockets were evaluated with 35 having been irrigated and 35 non-irrigated. The age range was 16-50years with a mean of 29.49 and most patients were between the 16-35 age group. There were 48.6% males and 51.4% females. Dry Socket was evaluated on the 3rd, 5th, and 7th day between groups (A=irrigation, B=Non-irrigation). On the 3rd postop day, 14 (40%) patients in group A and 15(42.9%) patients were diagnosed as dry Sockets. A similar number of patients in both groups (20%) exhibited symptoms of dry socket on the fifth and seventh postoperative days, as did 5 (14.3 %) in group A, 3 (8.6 %) in group B, and 1(2.9 %t) in group A, all on the fifth postoperative day. Conclusion: On the third, fifth, and seventh postoperative days, there was no significant difference in the result of Alveolar Osteitis between the groups.

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Efficacy of Aloe Vera Gel in Dry Socket After Removal of Mandibuler Third Molar

10.53350/pjmhs2115123530 ◽

2021 ◽

Vol 15 (12) ◽

pp. 3530-3532

Author(s):

Raj Kumar ◽

Fida Hussain ◽

Muhammad Ilyas ◽

Lavina . ◽

Ashfaque Ahmed ◽

...

Keyword(s):

Maxillofacial Surgery ◽

Aloe Vera ◽

Third Molar ◽

Control Group ◽

Surgical Removal ◽

Dry Socket ◽

Healing Index ◽

Aloe Vera Gel ◽

Group A ◽

Group B

Objective: To evaluate the effectiveness of Aloe Vera gel in management of dry socket after surgical removal of 3rd molar. Study Design & Setting: From December 2020 to November 2021, a descriptive research was conducted in the Section of Oral & Maxillofacial Surgery, Liaquat University of Medical & Health Sciences, Jamshoro, Hyderabad, Sindh. Methodology: Total 70 patients were included and divided equally in two groups i.e. Group-A (Alveora dressing) and Group-B (Controls). Dry socket, pre-operative assessment was carried out on the basis of pain Visual analog scale (VAS) and healing index. Socket was irrigated with sterile saline 0.9% in experimental group. In control group, patient were given tablet Panadol 1gm SOS. Patients were evaluated post operatively at 1st, 2nd, and 3rd day on the basis of pain (VAS) and healing index. Results: In group-A mean postoperative VAS at day-1, day-2 and day-3 was 6.69±2.59, 3.17±2.39 and 1.14±1.03 respectively. In group-B it was 7.77±2.03, 6.97±2.14 and 4.57±2.57. In group-A, mean postoperative healing scale at day-1, day-2 and day-3 was 2.83±0.56, 3.49±0.61 and 4.37±0.73 respectively and in group-B it was 2.31±0.58, 2.63±0.69 and 3.26±0.65 respectively. Significant association of pain intensity at day-2 and day-3 and healing index (at day-1, day-2 and day-3) was observed. Conclusion: Aloe Vera gel significantly reduced postoperative pain and improve healing index. Keywords: Effectiveness, Aloe Vera Gel, Dry Socket, Surgical Removal, Third Molar

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COMPARISON OF PAIN PERCEIVED BY PATIENTS UNDERGOING INTRA ORAL LOCAL ANESTHESIA USING DIFFERENT NEEDLE GAUGES

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v70i6.4286 ◽

2020 ◽

Vol 70 (6) ◽

pp. 1702-06

Author(s):

NoorUlSabah Hussain ◽

Shoaib Younus ◽

Uzair Bin Akhtar ◽

Malik Ali Hassan Sajjad ◽

Muhammad Salman Chishty ◽

...

Keyword(s):

Local Anesthesia ◽

Nerve Block ◽

Oral Surgery ◽

Maxillofacial Surgery ◽

Inferior Alveolar Nerve ◽

Oral And Maxillofacial Surgery ◽

Inferior Alveolar Nerve Block ◽

Group A ◽

The Difference ◽

Group B

Objective: To compare the difference in pain perceived by patients undergoing intra-oral local anesthesia withdifferent gauge needles. Study Design: Qausi experimental study. Place and Duration of Study: Oral and Maxillofacial surgery department of Institute of Dentistry, CombinedMilitary Hospital, Lahore Medical College, Lahore, from July 2019 to August 2019. Methodology: One hundred patients were selected by consecutive sampling from the oral surgery OPD clinic.They were divided into two groups A and B randomly. Twenty three gauge needle on a 3cc disposable syringewas used for inferior alveolar nerve block and buccal nerve block for group A and 27 gauge needle on a metaldental syringe was used for the same in group B. Patients gave a verbal pain score, from 0-10 for each injection. Results: One Hundred participants were included in study, 37 (37%) males and 63 (63%) females. Mean painscore for group A for the inferior alveolar nerve block was 4.50 ± 2.1 and group B was 3.86 ± 2. The mean painscore for the buccal nerve block in group A was 4.02 ± 1.7, while that of group B was 3.94 ± 1.8. There was nosignificant difference (p=0.167 & 0.855) in pain perceived by patients undergoing intra oral local anesthesia using needles of different gauges. Conclusion: There is no difference in pain perceived by patients undergoing intra oral local anesthesia usingneedles of different gauges.

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Comparison between uses of topical tacrolimus and triamcinolone ointment for the treatment of oral lichen planus.

Update Dental College Journal ◽

10.3329/updcj.v8i1.38407 ◽

2018 ◽

Vol 8 (1) ◽

pp. 17-21

Author(s):

Shaikh Ahmed ◽

Md Rubayet Alam Prodhan ◽

Rifat Rezwana ◽

Jahan Sadia Afroz ◽

Mottakin Ahmad ◽

...

Keyword(s):

Triamcinolone Acetonide ◽

Lichen Planus ◽

Maxillofacial Surgery ◽

Burning Sensation ◽

Oral And Maxillofacial Surgery ◽

Complete Relief ◽

Topical Tacrolimus ◽

Group A ◽

Group B ◽

Oral Lichen

Background: Lichen planus is a chronic mucocutaneous disease with primary or secondary involve- ment of the oral mucosa. In particular in case of erosive lichen planus most of the patients experience no long term symptoms relief of conventional topical treatment such as corticosteroid ointment. Topical tacrolimus applications to mucosal lesions seem to be an alternative treatment approach.Objective: The aim of this study was to compare the efficacy of topical tacrolimus ointment with that of triamcinolone acetonide ointment on patients suffering from oral lichen planus.Study design: This was a clinical trial. Study setting and period: This study was conducted in outpatient department of Oral and Maxillofacial Surgery, Dhaka Dental College in the period between June 2013 to May 2014.Subjects: A total of sixty patients were enrolled. Out of sixty patients thirty patients used topical tacroli- mus 0.03% (Group A) and another thirty patients used topical triamcinolone acetonide( Group B) for the treatment of oral lichen planus.Methods: A total of sixty patients were asked to answer a questionnaire regarding the degree of pain and burning sensation in every two weeks according to visual analogue scale (VAS). In every two weeks change of colour and size and also any side effects of these drugs were assessed. Data were analyzed using Statistical Package for Social Science (SPSS), version 15.0 for windows.Results: At the end of 12th week follow up periods complete relief of pain and burning sensation in group A patients were 100% and in group B it was 30%. There was no side effect in two study group patients.Update Dent. Coll. j: 2018; 8 (1): 17-21

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Autogenous Platelet Rich Plasma in Healing of Bone Defects

JMS SKIMS ◽

10.33883/jms.v16i2.217 ◽

2013 ◽

Vol 16 (2) ◽

pp. 90-94 ◽

Cited By ~ 1

Author(s):

Altaf H Malik ◽

Ajaz A Shah ◽

Rubeena Tabasum ◽

Irshad Ahmad ◽

Manzoor Ahmad

Keyword(s):

Bone Growth ◽

Platelet Rich Plasma ◽

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery ◽

Maxillofacial Region ◽

Group A ◽

Oral And Maxillofacial Region ◽

Group B ◽

Regeneration Of Bone

Purpose: To evaluate the efficacy of PRP in regeneration of bone in defects of the oral and maxillofacial region. Methods: A comparative nonrandomized study including 40 patients with bony defects of cystic origin in the maxillofacial region was carried out in the Department of Oral and Maxillofacial Surgery. Patients were divided into two groups: group A received PRP and in group B PRP was not used. Postoperatively, the patients were monitored regularly by radiographs to evaluate new bone growth at 1st ,3rd and 6th month clinically and radiographically. Results: Faster bone healing in was observed in the patients in whom PRP was used at every follow up. Conclusion: Defects filled with PRP showed comparatively earlier and faster bone regeneration. JMS 2013;16(2):90-94

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COMPARISON OF EFFECTIVENESS OF CARBAMAZEPINE VERSUS TOPIRAMATE FOR THE MANAGEMENT OF TRIGEMINAL NEURALGIA

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v71i4.6083 ◽

2021 ◽

Vol 71 (4) ◽

pp. 1360-63

Author(s):

Ramish Tariq ◽

Omer Sefvan Janjua ◽

Sana Mehmood ◽

Muhammad Usman Khalid ◽

Khurram Jah Zafar ◽

...

Keyword(s):

Visual Analogue Scale ◽

Trigeminal Neuralgia ◽

Analogue Scale ◽

Maxillofacial Surgery ◽

Comparable Efficacy ◽

P Value ◽

Oral And Maxillofacial Surgery ◽

Group A ◽

Group B ◽

Comparison Of Effectiveness

Objective: To compare the effectiveness of Carbamazepine versus Topiramate for the management of trigeminal neuralgia. Study Design: Comparative prospective study. Place and Duration of Study: Oral and Maxillofacial Surgery department, Allied Hospital, Faisalabad Pakistan, from Nov 2017 to Nov 2018. Methodology: A total of 60 patients (30 in each group) were included. Group A was treated with Carbamazepine 100mg TDS and group B with Topiramate 25mg TDS. Visual analogue scale was used to access pain and was calculated at 1st visit (baseline), at 7th day, at 14th day and at 28th day. Results: Out of 60 patients, mean of age was 54.78 ± 8.49 years. Right and left side of the face was involved in 41 (68.3%) and 19 (31.7%) patients respectively. Maxillary branch was involved in 24 (40%) and mandibular branch was involved in 36 (60%) patients. The mean of visual analogue scale after 7 days in group A was 4.53 ± 0.93 and in group B was 7.1 ± 1.07, after 14 days mean of visual analogue scale in group A was 3.7 ± 1.02 and in group B was 4.03 ± 1.27. Mean of visual analogue scale after 28 days in group A was 3.27 ± 1.01 3.93 ± 1.28. The results were statistically significant with p-value of 0.03. Conclusion: Topiramate has comparable efficacy as that of Carbamazepine at dose of 75-100mg with lesser side effects. So Topiramate can be used as first line of treatment in trigeminal neuralgia.

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THE EFFECT OF THERAPUETIC ULTRASOUND AND PHONOPHORESIS ON TMJ PAIN

10.36106/ijsr/9710456 ◽

2020 ◽

pp. 35-37

Author(s):

Joyce Sequeira ◽

Thejas Girishan

Keyword(s):

Maxillofacial Surgery ◽

Mouth Opening ◽

Oral And Maxillofacial Surgery ◽

Pain Status ◽

Group A ◽

Tmj Pain ◽

Group B ◽

Larger Sample

Temporomandibular disorders (TMD) relate to discomfort of the temporomandibular joint (TMJ). The disorder is multifactorial with a degree of psychogenic influence varying throughout an individual's life with phases of symptoms affecting the quality of life. Taking into consideration the application of different physical therapies for the reduction of this pain, this study is to compare the effect of ultrasonic therapy and phonophoresis on TMJ pain. Material and methods: The study Sample consist of twenty clinically confirmed cases of TMJ pain, visiting the dental clinic of the Department of oral and maxillofacial surgery, Yenepoya Dental College, Mangalore. They were divided into two groups- Group A patients (n=10) received Hydrocortisone Phonophoresis therapy and Group B patients (n=10) received only Ultrasound, daily for a period of 7 days. The outcome were measured by Pain Status & mouth opening, measured using VAS and vernier calliper. Results: After the treatment period score of the Group-A who received Hydrocortisone Phonophoresis is significantly higher than Group-B on the Pain Intensity and Improvement in mouth opening when analysed using independent ‘t’ test at p<0.05 Conclusion: The data suggest that phonophoresis therapy can be used as an treatment modality in controlling pain associated with TMDs. However, further studies on larger sample size with longer follow up periods are required.

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