ABSTRACT
Oral submucous fibrosis [OSF] has always been recognized as a chronic, progressive and disabling disease of the oral mucosa. It is a well-recognized pre malignant condition which in most cases leads to oral squamous cell carcinoma [OSCC]. The objective of this study was to compare the presentation of OSF alone and in patients who have developed OSCC. This cross sectional study was conducted in the Department of Oral Medicine and Oral and Maxillofacial Surgery, Dr Ishrat-ul-Ibad Institute of Oral Health Sciences, Karachi. Out of 106 patients who were diagnosed with OSF, 17 had OSCC as well. The most common presenting complaints amongst patients presenting with OSF along and OSF with OSCC were limited mouth opening and mouth ulcers respectively [p= 0.001]. When compared with patient having OSF alone, patients presenting with OSF and associated OSCC were significantly older and gave history of prolonged use of areca nut and betel quid
ABSTRACT
The aim of the study was to assess temporalis muscle flap as an interpositional material for arthroplasty in patients with temporomandibular joint ankylosis and to identify the most common cause of temporomandibular joint ankylosis. Fifty patients of different age groups, reporting to Oral and Maxillofacial Surgery Department of Armed forces Institute of Dentistry were enrolled in study. Surgical procedure involved condylectomy followed by temporalis muscle flap interpositioning. First postoperative maximal incisal opening [MIO] was recorded on 5th post-op day. Patients were regularly followed up for a period of 18 months and their maximal incisal opening [MIO] was finally recorded. Trauma was found to be the main etiologic factor in TMJ ankylosis[n=46, 92%], followed by infections [n=3]. No case of relapse of limited mouth opening was seen during 18 months followup. Temporalis muscle proved to be a successful interpositional material with low morbidity and complications for the treatment of temporomandibular joint ankylosis
ABSTRACT
Objective of this study was to evaluate current BDS curriculum to identify the need for reviewing and updating the existing curriculum. It was a descriptive cross-sectional study. This Study was conducted in four private sector dental colleges of Islamabad from S[th] June to 25[th] December2013. Two hundred and ninety six faculty members and students were included in the study based upon random sampling technique. Demonstrators and junior dental students were not included in the study. Faculty of different levels including professors, associate professors, assistant professors, senior registrars and final year BDS students were included in the study. A self-administered structured questionnaire based upon Stufflebeams1 CIPP Model of program evaluation was used as data collection tool and principal author personally visited all four dental colleges to collect data. MS Excel was used for data entry, descriptive analysis and generation of graphs. Results of the present study indicated that there are weaknesses in the current Dental curriculum. Integration according to latest trends and approaches are required to make it at par with international standards
ABSTRACT
To compare oral submucous fibrosis with other white oral lesions for presentation and associated factors. Cross-sectional study. The Departments of Oral Medicine and Oral and Maxillofacial Surgery, Dr. Ishrat-ul-Ibad Institute of Oral Health Sciences [DIKIOHS], Karachi, from May 2008 to May 2009. Patients presenting with oral white lesions were selected by consecutive non-purposive sampling and clinico-demographic data was collected. For patients with oral submucous fibrosis [OSF], additional information like duration of habits, maximal incisal opening [MIO], presence of any other associated lesion were noted. OSF was compared with other white lesions for any association between characteristic of subjects. Chi-square and independent t-tests for determining the statistical significance at p < 0.05. OSF was present in 59.6% [n = 106] of the 178 patients; other white lesions were 40.4% [n = 72]. The mean age of patients with OSF was 34 +/- 12.7 years and 45.81 +/- 16.2 years in patients with other white lesions, [p < 0.0001]. Items containing areca nut were consumed more by patients with OSF, with a significant [p < 0.0001] compared to patients with other white lesions. OSF was the predominant white lesion in patients examined at DIKIOHS. Areca nut was found to be chewed more by patients with OSF and still longer by patients with SCC.