Unilateral Maxillary Sinusitis Caused By Dental Bur, A case Report

the entrance of a foreign body (FB) into the maxillary antrum is common in trauma patients where bullets or any other materials trapped in the maxillary sinus; however, iatrogenic cause by a dentist that results in FB entrapment in the maxillary antrum is rare. All these FBs can cause sinusitis. If not treated properly they will cause serious infection, which may spread to the other paranasal sinuses. A careful clinical examination and treatment plan will prevent further complications. In this review, we present a rare case of dental bur (DB) found in the left maxillary antrum. A review of literature revealed only a few cases published which describe a dental bur dislodged in the maxillary antrum.

Incidence of Salivary gland stone as a main cause of sialoadenitis a clinical study was done on a sample of 22 Iraqi patients

Background: sialolithiasis remains an entity carrying a significant morbidity. This study covers the current principles guiding the surgical management of sialolithiasis in Iraqi sample including diagnostic tools, interventional options, surgical techniques and their outcomes. Materials and Methods: A clinical study of 22 cases with salivary gland stones were collected from two major teaching and referral hospital in Baghdad “Medical city, hospital of surgical specialities” and “Al-Kinidy hospital, maxillofacial department” from 2010-2015 Results: The study population composed of 22 cases. The age range was from 10-70 year with average of 40 years. The females were 7 cases (31.81%) and males were15 (68.18%). The majority of cases were submandibular gland 16 cases (72.72%) followed by sublingual gland 5 cases (22.72%) and the parotid gland (4.54%). The presence of stone was similar on both sides. The surgical approach was applied by removal of stone in 11 cases and removal of gland in 11 cases. Conclusion: Salivary calculi are common cause of salivary gland disorder. Sialography is an important tool for assessment of salivary gland obstruction in patients presenting with It should be done after the acute symptoms are subsided. Success is measured by treatment that is efficient, clinically effective and glad sparing.

Retrospective analysis of malpositioned mandibular third molars in elderly patients

Objective: To determine the frequency of symptomatic malpositioned mandibular third molars in elderly patients. Method: An analytic study of hospital records of elderly patients with symptomatic impacted mandibular third molars over 17 years was undertaken. Information on demographics, types of impaction, reasons for surgical extraction, and complications after treatment were obtained. Those who were asymptomatic would be excluded from analysis. Results: Altogether, 6214 impacted mandibular third molars were isolated in 5, 431 patients. However, 436 (7.0%) symptomatic impacted teeth were recorded in 436 (8.0%) patients and these were extracted, while the rest, 5778 (93.0%) were asymptomatic. Males were greater than females in the ratio of 1.1:1. The frequency of occurrence of mesio-angular and vertical impactions were significant (P= 0.001) compared with disto-angular and horizontal. Periodontal disease was 211 (48.4%) of the case in addition to dental caries and its clinical sequelae 203 (46.6%) were significant reasons for extractions (P=0.000). The common postoperative complications were alveolar osteitis and hypersensitivity of the adjacent molar 22(68.7%) which related to surgical extraction of disto-angular impactions (P= 0.001). Conclusions: This study showed the older the patient the less likely malpositioned mandibular third molar suggesting that majority of such impactions do not cause pathology after many years of their presence in the oral cavity. Prophylactic extraction of malpositioned mandibular third molars in all patients should be discouraged, but each case should be treated on merit or when symptomatic.

Publications in Fake and Predatory Journals Harm Academic Reputation of Higher Education Institutions

In our modest point of view "research is not a paper published to increase the biography of an academic, nor a tool for getting fund, promotion and job. Research adds a great value to the society's life and can change the world; besides its reflection on a long-lasting impression of an academic, being his/her surviving wealth". To preserve science and society all over the world, we should ban fake research, fake journals and publishers. Finally, selecting prestigious journals for publishing scientific research is an issue of honesty.

Incidence and risk factors of oroantral perforation following tooth ex- traction among Nigerian population in a tertiary hospital: a ten- year retrospective study

Oro-antral perforation (OAP) could be misdiagnosed if the incidence and risk factors are unknown and its consequence could be worrisome. We aimed to determine the incidence and risk factors of oro-antral perforations after teeth extraction. A retrospective study of forceps extracted upper posterior teeth over a ten-year period from September 2008 to November 2018 was done at our hospital in Nigeria. In univariate analysis, the predictors were age, gender, experience of surgeon, site of tooth, side of surgery, use of elevators while the outcome variable was oroantral perforations. Logistic regression was also done to determine the risk factors associated OAP. We used SPSS Version 17(SPSS Inc, Chicago, USA) to perform descriptive and inferential statistical analysis. P-Value less than 0.05 was considered statistically significant. Out of the total 26,372 dental extractions during the ten-year period, 54 (0.2%) extraction cases (33 males, 21 females) had oro-antral perforations. Their mean age was 54.8± 10.6years (ranging from 21 to78 years). The highest incidence occurred in the sixth decade of life. Only the location of teeth had a significant association with oro-antral perforations. The location of upper first molar was (OR = 1.85, P=0.00) identified as a significant risk factor. The incidence of OAP is significantly lower in Nigerians and was 0.2% although there could be a population variability. The position of the upper first molar was a factor found to be associated and predictive of the OAP but age, gender, number of extractions per visit, side of operation and the surgeon’s experience were not. The findings will help surgeons to predict occurrence of OAP knowing its risk factors.