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Background: Extraction in Orthodontics has always been a topic of debate and is one of the controversies in Orthodontics. There are numerous studies available regarding the frequency of Orthodontic extraction in clinics, but very less such institution borne studies have been reported. It is important to have demographic data on the prevalence of extraction. The present study was aimed to determine the epidemiological data regarding the prevalence of extraction in Orthodontic patients with respect to various demographic features.Material & Methods:This cross sectional study was done over a period of five months prospectively. Prevalence of Orthodontic extractions was obtained with regard to Gender, Age group, Education level. Various Orthodontic extraction patterns and overall extraction frequencies in relation to malocclusions was evaluated. Chi-square test was used to determine correlations between variables, Shaperio?Wilk W test and independent ‘t’ test was used for comparison between two groups.Results:Majority of the patients reporting for Orthodontic Extraction were females (65.1%).. Most of the patients belonged to ?19 age group, with higher secondary education level and belonging to urban area. The most commonly extracted tooth for Orthodontic treatment was premolar and the most common extraction pattern was all first premolars which was seen in Class I malocclusion. Females underwent more Orthodontic extractions.Conclusion:The data from this study is a dental tertiary institution borne data and reveals the frequency of Orthodontic patients indicated and reporting for extraction. The epidemiologic data from this study has given a comparison of extraction rates among gender, age, education level, residence and provides an insight about the most commonly extracted tooth and extraction pattern in orthodontic patients with various malocclusions. This study revealed a more trend towards all four premolar extraction. Prevalence of Orthodontic extraction was more among females (65.1%). The mean rate of extraction was found to be 4.14 with standard deviation of 1.04.
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Background: Removal of teeth causes pain, swelling, and difficulty in opening the mouth. The present study was conducted to assess pain experience after simple tooth extraction.Material & Methods:90 patients undergoing extraction of both genders were recorded. Pain assessment was recorded on the 10-mm NS (“No pain” to “Worst pain possible”). The character of pain was indicated (yes/no) using 4 descriptors according to the McGill Pain Questionnaire: constant pain, shooting pain, dull pain, and pain when chewing or biting.Results:Out of 90 patients, males were 40 and females were 50. Pain characters was constant in 30, shooting in 15, mild in 12, when chewing in 8 and none in 25 cases. The difference was significant (P< 0.05). Pain occurred in 52 chronically inflamed teeth and 38 grossly decayed teeth. The difference was significant (P< 0.05).Conclusions:Pain after tooth extraction is common and hence use of analgesics and anti- inflammatory is recommended.
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Aims & objectives The purpose of this study was to compare the effects of 4mgm inj dexamethasone IV intra operatively after ORIF on post operative oedema, pain & trismus in fracture mandible. Material & Method. THis prospective study included 162 cases of fracture mandible. Patients were divided into two groups randomly. Patients who received IV injection of 4 mgm Dexamethasone intraoperatively were study group (Group 1) & those who didn’t receive injections of Dexamethasone were categorised as controlled group (Group 11) with 81 patients each. Clinically mouth opening, swelling, infection pain, post operative discomfort were assessed on 2nd, 4th 7th, 10 day Th day followed by 4, 8 & 12 weeks time Result Pain ,Mouth Post operative oedema & other postoperative discomfort was significantly less in study group as compared to controlled group
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Third molar surgeries are most common procedures performed by oral and maxilla facial surgeon in his/her dental practice; however this procedure requires expertise and proper clinical diagnosis and planning, because of spectrum of complications that are associated with the removal of third molar teeth. Hence it’s Imperative that proper pre -surgical evaluation is needed and all surgical measures required are ascertained to avoid any nerve injury or other complications thereof, in this article Assessment of Nerve Injuries after Surgical Removal of Mandibular Third Molar is conducted in A Prospective Study.
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Objectives & Aims Canine impaction is one of the anomalies that should be considered by clinicians in detail. The aim of this study was to determine the incidence, prevalence, patterns & potential distribution of impacted maxillary canine teeth stratified by gender ,location (RT or LT) , unilateral or bilateral. This study also aims to evaluate the possible relationship between impacted Maxillary canines with large dentigerous cysts in maxilla Methods The study was carried out in the department of Oral & Maxillofacial surgery .patients were referred from oral medicine, radiology department with the symptom of swelling, pain, discharge or missing canines & retained deciduous canines. After examination of panoramic radiographs & clinical symptoms diagnosis was made, associated symptoms like pain, swelling, number, localization (RT/LT) age & sex, retained deciduous teeth, root resorption of adjacent teeth was also noted The included sample consisted of 100 patients diagnosed with canine impactions / transmigrated canines on clinical examination & panoramic radiographs. Age ranged from 18 to 50 years. 59.61% females 40.38% males. 60.22%maxilla,46.70% mandible.63.17% unilateral, 36.3% bilateral,. ConclusionThe early detection of impacted maxillary canine teeth is crucial for successful treatment, therefore demographic studies are important & should be managed to prevent complications.
ABSTRACT
The study was performed on 40 patients who reported the department of oral & maxillofacial surgery Indira Gandhi Government Dental College Jammu with trauma sustaining mandible, midface injuries along with other body injuries. Those patients were selected who had isolated, unilateral mandibular angle fracture. Patients were selected for the treatment method depending on degree of nerve injury (paresthesia , dysesthesia or anesthesia) & approximate gap between two fractured fragments on OPG. Neurosensory deficit due to inferior alveolar nerve damage was compared with other normal side. The aim of this study was to find out response of inferior alveolar nerve to mandible angle fracture, whether inferior alveolar nerve is always injuried as reported in literature & what type of injuries are most commonly seen. The study also was aimed to know how much displacement/gap between the fragments will lead to paresthesia of lower lip & chin & postoperative recovery thereof.