Clinical Measurement of Maximal Mouth Opening in Children of Age from 3 To 12 Years in Chennai-A Cross Sectional Study

Background: Trismus is a restricted mouth opening due to the tonic contraction of muscles of mastication. It may occur mostly in HNF cancer patients undergoing radiation therapy treatment. This study was undertaken with the purpose of finding out the prevalence of trismus in patients undergoing radiation therapy. Method: 89 patients with HNF cancer patients receiving radiation therapy were included in the study. Inter incisal distance was measured using sliding digital vernier calliper. Patients with ≥ 35mm mouth opening were considered as trismus cases. Result: Out of 89 patients included 72 were diagnosed as trismus; hence the prevalence was 81%. Conclusion: Prevalence of Trismus is very high ( 81 %) in patients undergoing radiotherapy secondary to HNF cancer. Early diagnosis of trismus in these patients can help in time management and also planning of preventive strategies.

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STIMULATED SALIVARY FLOW AND MAXIMUM MOUTH OPENING AT DIFFERENT TIMES POSTRADIOTHERAPY: A CROSS-SECTIONAL STUDY

Oral Surgery Oral Medicine Oral Pathology and Oral Radiology ◽

10.1016/j.oooo.2020.04.722 ◽

2020 ◽

Vol 130 (3) ◽

pp. e267

Author(s):

VICTOR DE MELLO PALMA ◽

ALEXANDER THOMAS ◽

EVA AGUIAR ALMEIDA CAMPOS CASTRO TORRIANI ◽

LUISA BERLATO SILVA ◽

CRISTIANE CADEMARTORI DANESI ◽

...

Keyword(s):

Mouth Opening ◽

Salivary Flow ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Modified Temporal Incision for the Management of Zygomatic Arch fractures—A Retrospective Study for 7 Years

Craniomaxillofacial Trauma & Reconstruction ◽

10.1177/1943387521989550 ◽

2021 ◽

pp. 194338752198955

Author(s):

S. Devakumari ◽

Neil Dominic ◽

T. Vijhayapriya ◽

D. S. Dinesh ◽

S. Devameena

Keyword(s):

Retrospective Study ◽

Facial Nerve ◽

Mouth Opening ◽

Complete Recovery ◽

Cross Sectional Study ◽

Zygomatic Arch ◽

Clinical Parameters ◽

Sectional Study ◽

Cross Sectional ◽

Permanent Morbidity

Study Design: Retrospective cross-sectional study. Objective: The objective of this retrospective study was to evaluate the clinical outcomes of Modified temporal incision in the management of zygomatic arch fractures (ZAF). Patients and Methods: Records of 34 patients who underwent open reduction for zygomatic arch fractures were retrieved and included in the study between 2011 and 2018. These patients were followed up at 4 weeks, 8 weeks and 12 weeks respectively. Clinical parameters such as post-operative infection, hematoma, scarring, degree of mouth opening, palpability of plates, alopecia and weakness of temporal branch of Facial nerve recorded were analyzed for complications of modified temporal incision in the management of ZAF. Results: A thorough analysis of the clinical parameters revealed that at the end of 4 weeks scarring was present in 4 patients and temporal branch of Facial nerve weakness was present in 21 patients. None of the patients had hematoma, infection or palpability of miniplates. At the end of 8 weeks the only complication recorded was weakness of temporal branch of Facial nerve in 21 patients. By 12 weeks, all patients had complete recovery and none of the patient had weakness of temporal branch of Facial nerve. Conclusion: The results obtained proved that the Modified temporal incision can be considered as a reliable method in the management of zygomatic arch fractures. The incision can be adopted with confidence in suitable cases of zygomatic arch fractures without any permanent morbidity.

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Mastication in Patients with Spinal Muscular Atrophy Types 2 and 3 is Characterized by Abnormal Efficiency, Reduced Endurance, and Fatigue

Dysphagia ◽

10.1007/s00455-021-10351-y ◽

2021 ◽

Author(s):

A. M. B. van der Heul ◽

R. P. A. van Eijk ◽

R. I. Wadman ◽

F. Asselman ◽

I. Cuppen ◽

...

Keyword(s):

Spinal Muscular Atrophy ◽

Negative Impact ◽

Muscular Atrophy ◽

Mouth Opening ◽

Cross Sectional Study ◽

Cross Sectional ◽

Maximal Mouth Opening ◽

Underlying Mechanisms ◽

Type 3 ◽

Muscle Ultrasound

AbstractMastication problems can have a negative impact on the intake of food and quality of life. This cross-sectional study characterizes mastication problems using clinical and instrumental assessments in patients with spinal muscular atrophy (SMA) types 2 and 3 with self-reported bulbar problems. We included 27 patients (aged 13–67 years), 18 with SMA type 2 and 9 patients with SMA type 3 (of whom three were still ambulant) and applied a questionnaire, clinical mastication tests (TOMASS and 6-min mastication test), and muscle ultrasound of the mastication muscles. Non-ambulant patients demonstrated inefficient mastication as reflected by median z scores for masticatory cycles (z = 1.8), number of swallows (z = 4.3) and time needed to finish the cracker (z = 3.4), and limited endurance of continuous mastication as demonstrated by the median z scores of the 6-min mastication test (z = − 1.5). Patients reported increased fatigue directly after the 6-min mastication test as well as 5 min after completing the test (p < 0.001; p = 0.003). Reduced maximal mouth opening was associated with mastication problems (p < 0.001). Muscle ultrasound of the mastication muscles showed an abnormal muscle structure in 90% of both ambulant and non-ambulant patients. This study aims to understand the nature and underlying mechanisms of mastication problems in patients with SMA types 2 and 3 with reported bulbar problems.

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Knowledge of Impacted Teeth among the Undergraduate Dental Students of a Medical College: A Descriptive Cross-Sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.6385 ◽

2021 ◽

Vol 59 (239) ◽

Author(s):

Rajesh Twyana ◽

Pranaya Khanal ◽

Bikash Chaudhary ◽

Alok Sagtani ◽

Sujaya Gupta

Keyword(s):

Third Molar ◽

Mouth Opening ◽

Practical Experience ◽

Cross Sectional Study ◽

Dental Students ◽

Sectional Study ◽

Cross Sectional ◽

Dental Surgery ◽

Impacted Teeth ◽

Medical College

Introduction: Third molar impaction is a common patient complaint in dentistry. Common symptoms are localized pain, swelling, bleeding, and difficulty in mouth opening. Since dental students deal with patients early in their education, for better skill, they should have knowledge of various teeth impactions. Hence, the objective was to find out the knowledge of impacted teeth among undergraduate dental students of a medical college. Methods: A descriptive cross-sectional study was conducted among bachelor in dental surgery students of a medical college from November 30, 2020 to April 3, 2021. Data collection was done by convenience sampling after receiving ethical clearance from Institutional Review Committee (Reference 1208202006). A structured questionnaire in Google Forms was sent to 221 participants via Viber. Out of 213 responses received, 144 were analyzed in Excel after discarding for duplication and other errors. Descriptive statistics such as mean, standard deviation, frequency, and percentage were analyzed. Results: Out of the total of 144 participants, only 81 (56.3%) (47.89-91.4 at 95% Confidence Interval) had known about the term ‘impacted teeth’ before joining Bachelor in Dental Surgery course. The source of information was mostly the internet 27 (18.8%) followed by dentist 23 (16%). Most students 116 (80.6%) were familiar with third molar impactions, 62 (43.1%) knew about types of impacted teeth/impaction, and 100 (69.4%) were aware of the complications of not removing impacted teeth. Conclusions: Dental students should be provided with appropriate ‘impacted teeth’ education supported by practical experience. More detailed information regarding impacted teeth should be included in the curriculum for better understanding.

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Evaluating the Quality of Life in Oral Sub Mucous Fibrosis Patients by WHOQLF-Brief Questionnaire: A Study Protocol

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i60a34470 ◽

2021 ◽

pp. 171-175

Author(s):

Dhiran Talatule ◽

Ramhari Sathawane ◽

Romita Gaikwad ◽

Rakhi Chandak ◽

Ayesha Sayyad ◽

...

Keyword(s):

Quality Of Life ◽

Data Collection ◽

Oral Submucous Fibrosis ◽

Mouth Opening ◽

Well Being ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Submucous Fibrosis

Background: - Oral Submucous fibrosis (OSMF) is a chronic insidious inflammatory disease which presents with the clinical presentation of burning sensation, fibrosis which ultimately leads to reduced mouth opening. The quality of life is the perception of an individual on their oral health as well as their well-being. The assessment of quality of life in the patients with OSMF plays an important role in the cessation of the habit. Aim: - To analyse the quality of life in patients diagnosed with Oral Submucous Fibrosis (OSMF). Study Design: - Cross-Sectional Study Methodology: This is a cross-sectional study will be conducted on 300 diagnosed patients of OSMF. Selection of patients will be done as per the inclusion criteria. The nature and Purpose of the study will be explained to the patients before the data collection. Results: The results will be evaluated by the statistician after the data collection and the results will be published in the peer reviewed journals. Improvement in the quality of life in OSMF patients. Knowledge and awareness regarding the consequences of betelnut in the population of Central India.

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Coronectomy versus Extraction of Third Molar with Inferior Alveolar Nerve Proximity: A Cross-sectional Study

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/47211.15248 ◽

2021 ◽

Author(s):

Bhavesh Maheshwari ◽

Ram Parshad ◽

Kashif Ali Channar ◽

Ajeet Kumar Rathi ◽

Rajesh Mali ◽

...

Keyword(s):

Nerve Injury ◽

Inferior Alveolar Nerve ◽

Third Molar ◽

Mouth Opening ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Impacted Teeth ◽

Impacted Third Molar

Introduction: A tooth that failed to erupt in its expected time of eruption is called impacted tooth. Mandibular impacted teeth are common than any other tooth. Management of impacted teeth depends upon depth, angulations and type of impaction. Certain factors may increase the complications of tooth extraction. One of them is Inferior Alveolar Nerve (IAN) approximation with third molar roots. Coronectomy is surgical procedure through which crown of tooth can be removed at cementoenamel junction level and leaving the root part is a new procedure to avoid nerve injury. Aim: To compare outcome of extraction of lower third molar and coronectomy in management of impacted third molar with close proximity to inferior alveolar nerve. Materials and Methods: This cross-sectional study was conducted at Oral and Maxillofacial Surgery Department at Liaquat University of Medical and Health Science Jamshoro/Hyderabad, Pakistan. Ethical approval was sought from the ethical review committee of university. The written informed consent was taken from the patients. Total 36 patients were included in this study, divided into two groups using random number table. Patients with mandibular impacted third molar, with inferior alveolar nerve approximation diagnosed clinically and radiographically were included in this study. Group A was treated with surgical extraction and group B with Coronectomy. The data was analysed by Statistical Package for the Social Sciences (SPSS) statistical software version 20.0. The Chi-square test and Independent t-test was applied to check the statistical difference in outcomes of both treatment procedures. Results: Total 36 patients were included in two groups and the mean age of patients were 25±2 years with male to female ratio as 1.1:1. Preoperatively, all patients were having normal mouth opening and no neurosensory deficit. Postoperatively neurosensory deficit seen in both groups at follow-up visits but, at six weeks follow-up, all patients were recovered from IAN deficit in coronectomy group with statistically significant p-value <0.001. Conclusion: With this small sample size, it cannot be concluded which technique is better than other. With this single centre study, it was observed that coronectomy appears to be simple, easier and better procedure and more effective technique for minimising the risk to inferior alveolar nerve injury, limited mouth opening and dry socket that corresponds to impacted molar extraction.

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