ABSTRACT
The aim of this study was to compare the effect of marginal flap and paramarginal flap designs on maximum mouth opening following surgical removal of impacted mandibular third molars. This comparative study consisted of sixty patients which were divided into two groups of thirty each and was carried out at Oral and Maxillofacial Department, Lahore Medical and Dental College, Lahore from June 2012 to October 2013. Maximum mouth opening was recorded preoperatively. A marginal flap was used in one randomly chosen half of the patient's sample, and a paramarginal flap was used in the other half. The effect of these flaps on maximum mouth opening was studied postoperatively. No significant difference was found between marginal and paramarginal flaps on maximum mouth opening at second and seventh days after surgical removal of impacted mandibular third molar [P>0.05]. Therefore, the decision to use a marginal flap or a paramarginal flap may be based on surgeon's preference
ABSTRACT
Radicular cysts are the most common odontogenic cysts of inflammatory origin affecting the human jaws. Radicular cysts are usually asymptomatic but can result in slow growth tumefaction and involve many adjacent sound teeth endangering their vitality and prognosis. The objectives of this study were to enumerate and evaluate the etiological factors and the pattern of presentation of radicular cysts in a tertiary care centre in Pakistan. A total of 58 patients were included in this case series study after taking history, clinical examination, radiological findings, aspiration test and histological diagnosis of lesion by biopsy report. It was carried out at the Oral and Maxillofacial Surgery Department, Lahore Medical and Dental College, Lahore from April 2012 to August 2014. The patients in the study included 30 male [51.72%] and 28 female [48.28%]. Most cases were diagnosed in the second decade of life [50.00%] which declined in the later age groups. The most affected region was the anterior maxilla [65.52%, n=38], followed by anterior mandible [18.96%, n=11]. The main etiological factor was dental trauma followed by unrestored nonvital carious teeth. Radicular cyst is the most commonly occurring odontogenic cyst which affects the maxillofacial skeleton with varying frequency. A proper early screening of dental trauma can significantly reduce the incidence of some of these cystic lesions. In addition, patient education with regards to improved oral health and regular dental check ups is important for reducing the caries prevalence in the population
ABSTRACT
To document the clinical presentation and treatment protocols for adenomatoid odontogenic tumor in the oral cavity, this study was carried out at de, Montmorency College of Dentistry I Punjab Dental Hospital, Lahore-Pakistan. The sampling technique was purposive. Six cases of AOT were recorded. The age range was 11-16 years [mean 13.8years] with 4 cases in males [66.6%]. Maxillary involvement was seen in 5 cases [83%]. Only one case presented with mandibular involvement [left side]. AOT is a relatively uncommon lesion seen primarily in the adolescents. It should be managed at an early stage to prevent damage to the adjacent teeth