ABSTRACT
Dentigerous Cyst (DC) is a common type of cyst encountered in oral cavity. These types of cysts are usually found covering the crowns of unerupted teeth and expand in size due to collection of cystic fluid in the region of dental follicle. They can be treated by marsupialisation or enucleation of the lesion based on the involvement of the lesion with the adjacent structures. We wanted to analyze the demographic distribution, clinical, and radiographic features of DC cases reporting to the dental department at NSCB Medical College, Jabalpur (M.P.).METHODSA retrospective study of clinical, radiographic presentation and management of 13 cases of DC attending OPD of Department of Dentistry and treated by enucleation and marsupialization, at Netaji Subhash Chandra Bose (NSCB) Medical College at Jabalpur (M.P.) from July 2016 till December 2017 was conducted.RESULTSOut of 13 cases 8 patients (61.53%) were males and 5 (38.46%) were females. Wide variation in age was seen (14-47 years). 8 (61.53%) patients had a lesion in mandible and was most commonly associated with mandibular third molar which was encountered in 5 cases (38.46%). Most common presenting symptom was a swelling which was found in 76.92% patients. 9 cases (69.23%) were treated with enucleation and marsupialisation was used to treat 4 cases (30.76%).CONCLUSIONSA male: female ratio of 1.6:1 was reported showing a slight male dominance. DC most commonly involved unerupted mandibular third molars. The prognosis of patients treated with enucleation and marsupialisation is satisfactory.
ABSTRACT
Background: Smoking, drinking and chewing tobacco producthave been positively associated with oral lesions. The objectiveof the present study was to determine the prevalence oforomucosal lesions in relation to tobacco habit among a NorthIndian population.Materials and Methods: The present retrospective study wasstudy conducted among 1840 patients who reported in thedepartment of dentistry at NSCB Medical College Jabalpur MP.Along with patient's demographic details, information regardingthe type of habits, duration, frequency, site of placement,period of contact with mucosa, and history of discontinuation ofhabit were recorded using a standardized interviewer-basedquestionnaire. The diagnoses of clinically suspicious lesionswere confirmed by biopsy. Tobacco-related OMLs werediagnosed based on the clinical features. The collected datawere tabulated, and frequency and distribution tables of OMLswere generated using Statistical Package for Social Sciencesversion 21 (SPSS for Windows, Version 21.0. Chicago, SPSSInc.).Results: In the present study total patients were 3250 in which1840 patients were having habits. 58.69% males were havinghabits and 41.30% females were having habits. 67.59% maleswere smokers, 21.85% males were chewers and 10.55%males were having mixed smokers. 63.15% males weresmokers, 28.94% males were chewers, and 7.89% maleswere having mixed smokers. 36.90% patients were smokers,42.38% patients were chewers and 20.71% patients werehaving both smoking and chewing habits. The prevalence oftobacco coated tongue (31.57%) was highest in femaleswhereas in males prevalence of smoker’s melanosis (30.46%)was highest among all oromucosal lesions.Conclusion: Our study concluded that in both males andfemales smoking tobacco habit was more common thanchewing. The prevalence of tobacco coated tongue washighest in females whereas in males prevalence of smoker’smelanosis was highest among all oromucosal lesions.
ABSTRACT
Background: Removal of wisdom teeth is a regularlyperformed dental treatment by non-specialist and specialistdentists. Damage to the inferior alveolar nerve after theremoval of wisdom molars occurred in 0.4 to 8.4% of subjects,lesser than 1% of cases it is permanent. The present studywas conducted with the aim to assess the intraoperativecomplications occurring during third molar removal.Materials and Methods: The residents of the departmentperformed all the dental surgical procedures. Classification ofthe impaction was done according to Pell and Gregory andWinter’s classification. The methods of osteotomy or toothsectioning, duration of surgery and any complications that wasencountered during the surgery like hemorrhage, displacementof teeth, damage to adjacent teeth or injury to soft tissues wasrecorded in a tabulated version.Student t test was used for analysis. Probability value of lessthan 0.05 was regarded as significant.Results: Fracture of tuberosity was seen in 2.3% cases, therewere 1% (n = 3) cases of hemorrhage, there were 0.6% (n = 2)cases each of apex fracture. There were two cases ofmesioangular impaction and 1 case of distoangular impaction.Conclusion: The most commonly associated intraoperativeaccident in the present study was tuberosity fracture