ABSTRACT
This study was conducted to determine postoperative donor site complications after bone harvesting from iliac crest for maxillofacial reconstruction in patients presented at Pakistan Institute of Medical Sciences [PIMS Hospital Islamabad]. One hundred and ten patients having bony defects in maxillofacial region had undergone iliac crest grafting over a period of one year. The data were recorded on a strurctured proformas and were entered in SPSS version 17.0 [SPSS, Inc, Chicago, IL, USA]. Analysis was done to determine the frequency and percentages for all variables. Morbidity to donar site [Illiac crest] was evaluated postoperatively at 3[rd] month. Among 110 patients, male to female ratio was 1:1.2. Out of total 16.4% had mild pain, 0.9% had gait disturbances with walking aid needed. It was concluded that complications after iliac crest harvesting was found to be moderate to low, but the procedure was still necessary and frequently used with predictable results in terms of pain and gait disturbance at donor site
ABSTRACT
This study was conducted to determine the predisposing factors for the development of dry socket among the patients of Peshawar Dental Collage Hospital, Khyber Pakhtunkhwa - Pakistan. Two thousand five hundred and twenty six mandibular and maxillary extractions were done over a period of one year. The data were recorded on two separate proformas and were entered in SPSS version 15 [WHO]. Analysis was done to determine the frequency and percentages for all variables. Total of 1.20% patients developed signs and symptoms of dry socket after 3-4 days. Male to female patient ratio was 1:1.5. Peak incidence occurred during 36-45 years age. Majority of patients were healthy at the time of extraction. Diabetic patients, smokers and female taking contraceptive pills frequently reported with dry socket. More dry socket was seen in Posterior mandibular extractions. Intra-ligamental anesthesia and surgical extractions with flap elevations resulted in dry socket. Majority of patients who didn't follow post extraction instructions presented more with dry sockets. It was concluded that formation of dry socket can be prevented by taking proper history of the patient, prescribing antibiotics for infections and avoiding excessive use of local anesthetic with adrenaline. Atraumatic surgical extraction will reduce the chances for the development of dry socket. Proper post extraction instructions and scheduled follow ups will further reduce the chances for dry socket