Giant cell granuloma of the maxilla

The case report is of a 30 year old male, who complained of a slowly expanding swelling in the maxilla in the left premolar region. The swelling was clinically and radiographically diagnosed as Central Giant Cell Granuloma. The patient also had Angles Class2 Division 2 Malocclusion in which repeated micro trauma may have possibly contributed to the formation of the tumor. The tumor was surgically removed under general anesthesia followed by local injections of corticosteroids

Evaluation of the Ochsenbein-Luebke flap technique in periapical surgery at Punjab Dental Hospital Lahore Pakistan

There have been no direct studies comparing the Trapezoidal flap with the Ochsenbein-Luebke flap in endodontic surgery. The present study is aimed to provide an insight into the relative performances of these two procedures. This comparative study, carried out at Punjab Dental Hospital Lahore Pakistan from May to October 1998, involved 120 patients [60 in each group]. Evaluation of technique[s] involved assessment of intra-operative technical considerations as well as postoperative morbidity, healing and cosmetic results. It was found that O-L flap is easy to reflect, has good visibility, less bleeding duration and is easy to handle during surgery. Stitches are less time consuming, there is less tearing, better cosmetic result and no recession of gingiva. However more studies should be done to evaluate the procedure in larger number of patients