Clinical presentation of dry socket at teaching hospital of Hyderabad city

To find out frequency and clinical presentation of dry socket in Department of Oral and Maxillofacial Surgery Liaquat University of Medical and Health Sciences, Jamshoro. Obseervational study. This study was carried out at Department of Oral and Maxillofacial Surgery, Liaquat University of Medical and Health Sciences, Jamshoro from Jan 2011 to June 2012. Age from 11 to 70 years with both gender groups was included in the study. They were observed for the presence of dry socket. Patients with previous history of two or more days of extraction, pain, sensitivity on gentle probing of the extraction socket and empty/ partially empty socket were included in the study. Data was analyzed using SPSS version-13. Total 2300 extractions were included in study; dry socket was recorded in 66 [3.3%] routine dental extraction except 3[rd] molars and 598 [26%] surgical and non-surgical extraction of 3[rd] molar respectively. Majority of the patients belong to 3[rd] decade of life. In oral Surgery practice dry socket is unavoidable, but oral surgeons must identify additional risk factors in patients with particular medical conditions and include this information as a part of the informed consent

Comparison between extraoral and intraoral surgical procedures for the treatment of mandibular angle fractures using semirigid fixation or rigid fixation

The purpose of this study was to determine various post operative complications associated with two surgical procedures used for reduction of mandibular angle fractures. Experimental study. The study was conducted in Department of Oral and Maxillofacial Surgery Liaquat University Hospital Hyderabad from February 2012 to February 2013. Thirty patients with mandibular fractures were divided in to two categories. Fifteen patients were treated by intra oral approach [Group A] and Fifteen by extra oral approach [Group B]. At different intervals of their post operative visits, these patients were evaluated for post operative complications of infection, nerve damage, keloid scar, facial cosmetic dissatisfaction, malocclusion and limitation in mouth opening. 23 male patients and 07 female patients were affected with mandibular fracture. Most common etiology was RTA in 66.6% case. Most common complication with intraoral approach was postoperative infection while facial dissatisfaction was most commonly noticed with extraoral approach. The intra oral approach with rigid fixation is our effective and superior technique as compare to the extra oral approach

Prevalence of hepatitis b and c in oral and maxillofacial surgery reported at liaquat university hospital Hyderabad

To analyze the prevalence of hepatitis B virus [HBV] and hepatitis C virus [HCV] carriers in oral and maxillofacial patients. Experimental study. This study was carried out at Oral and Maxillofacial Surgery Department, Liaquat University Hospital Hyderabad from 1[st] September 2011 to 31[st] August 2013. Data of 520 patients who were hospitalized at Liaquat University Hospital for treatment of maxillofacial fractures. Study design was descriptive/cross sectional study. All patients were treated both under general anesthesia as well as local anesthesia, sedation. Our hospital is tertiary referral center for Sindh province. Patients who were hospitalized at Oral and Maxillofacial Surgery Department during the study period for any category of maxillofacial surgery were screened before managing. 60% were males and 40% were females with age from 15-80 years. HBV was positive 15% in patients and HCV was positive in 11% of patients. The high prevalence of HBV and HCV in maxillofacial surgical patients recommended a regular test for HBV and anti-HCV for every one patient, to prevent spread of HBV and HCV among staff, patient to patient and oral surgeon

Mandibular fracture fixation with miniplate and MMF for up to two weeks. a prospective study

This study was conducted to evaluate the complication rate of treatment of mandible fracture using 2.0-mm miniplate and MMF for up to two weeks. Descriptive study. This study was conducted at Liaquat University of Medical and Health Sciences Jamshoro, Hyderabad Sindh from May 2004 to April 2006. Fifty patients with single mandibular fracture were evaluated in this study at Liaquat University of Medical and Health Sciences Jamshoro, Hyderabad Sindh. Single miniplate was applied according to champy's principle of osteosynthesis and secured with four mono cortical screws and Maxillomandibular fixation was applied for up to two weeks. Follow up was done for at least eight weeks after surgery. The incidence of infection, malocclusion, delayed union, non union, nerve damage and TMJ dysfunction were evaluated. Bone union was achieved in all patients. No evidence of malocclusion, delayed union, nonunion, nerve damage and TMJ dysfunction observed. Two cases [4%] developed post operative infection and was healed with in 7 to 10 days after administration of antibiotics and local wound care. Single miniplate along with Maxillomandibular fixation for up to two weeks has proven to be the most effective treatment modality for mandible fracture

Histological types and common sites of oral cancer in patients presenting at liaquat university hospital Jamshoro/Hyderabad Sindh

To determine the frequency of histological types and comman sites of oral cancer in patients presenting at Liaquat University Hospital Jamshoro/Hyderabad Sindh. Descriptive Study. This study was conducted on patients presenting at Oral and Maxillofacial Surgery Department, Liaquat university hospital Jamshoro/ Hyderabad Sindh over a period of one year from January 2010 to December 2010. Patients of all age group and gender with biopsy proven oral cancer along with its Histopathological types were included in the study. Patients reported irradiated,metastatic,benign and inflammatory lesions were excluded from the study. Total number of patients was 100. There were 53 Males and 47 Females. Age range was 3 years to 85 years. means age was 44.2 years. Most comman site was cheeck mucosa. Histopathological analysis showed 75% patients having well diffrentiated squamous cell carcinoma, 13% patients having moderately diffrenciated squamous cell carcinoma, 2% patients having poorly diffrenciated anaplastic carcinoma, 7% patients having basel cell carcinoma.1% Patients having Melanoma, 1% patients having Mucoepidermoid Carcinoma and 1% patients having Rhabdomyosarcoma. This study gives a detailed account of the histopathological types of oral cancer along with their frequency and site. oral cancer occurred at a younger age with male prepondrance

comparative study of gap and interpositional arthroplasty with temporalis myofacial flap for TMJ ankylosis treatment

The objects of this study were to evaluate the effectiveness of gap and interpositional arthroplasty with temporalis myofascial flap in the treatment of the temporomandibular joint [TMJ] ankylosis. This descriptive case series study consisted of twenty five patients. It was carried out at Oral and Maxillofacial Surgical Department, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh from January 2010 to December 2012. Orthopantomogram [OPG] and 3-D Scan was the standard radiograph and was taken in every case. Nineteen had unilateral and six bilateral TMJ ankylosis. Most patients were in 2nd decade of life age group [16]; followed by 3rd decade [05] and 1st decade of life [04]. 18 were female and 7 were male; Major etiological factor was fall [21] followed by forceps delivery [03] and ear infection [01]. Inter-incisal distance [IID]/mouth opening were noted preoperatively, immediately after completion of operation that was 35mm and postoperatively at follow-up. The incidence of TMJ ankylosis varies from country to country and closely related to the social and financial issues of the patients. TMJ ankylosis is challenging problem for the patient, as for the surgeon. Over the years many modifications were made in TMJ surgery for better results and Gap arthoplasty with temporalis myofascial flap as the interpositional graft is one of common treatment modality which is done at our center

Risk factors in spreading odontogenic infection

Spreading odontogenic infection is the extension of infection from its original site and can create potential life threatening situations. There are several risk factor reported for spreading odontogenic infection in literature including systemic health, virulence of organism and anatomical site. Apart from these factors odentogenic infection also observed in normal individuals. The objective of this study is to identify Risk factors in spreading odontogenic infection. Descriptive Case Series Study. This study was conducted in Department of Oral and Maxillofacial Surgery, Institute of Dentistry, LUMHS from January 2011 to February 2012. A descriptive case series study on 60 patients of spreading odontogenic infection was conducted. Male female ratio was 2.3:1, 2[nd] and 3[rd] decade was common presentation. The most frequent clinical findings were pain, swelling, trimus. The Buccal space was the most frequent location for a single space infection [53.3%], followed by Submandibular space [35%], Canine space [5%]. Three patients presented with multi space involvement [6.6%]. The most common involved tooth was mandibular third molar 26 [43.3%].The most common cause of the infection was periapical infection followed by pericronitis. 83.3% patient were healthy patients with no co morbid, only 16.7% patients were with co morbid like DM, hypertension and pregnancy. There was also no difference for mean WBC count. This study shows that lower molars were the most common involved teeth and buccal space was frequent space to be involved. The site of infection is important risk factors. We observed Odentognic infection in common in healthy individual than non-healthy individuals

Maxillofacial fractures in Hyderabad city: a 1-year study of 448 patients

This descriptive study assesses the cause, type, incidence and treatment modalities of maxillofacial fractures managed at our center during the 1-year of time period. Descriptive Study. This study was carried out at Department of Oral and Maxillofacial surgery Institute of Dentistry LUMHS, Jamshoro. A total 384 cases were studied. A detailed history, clinical examination was performed and finally diagnosis confirmed with the help of radiograph, at least two radiographs were taken. Records of patients enrolled who were either treated in the Emergency Room, Out-Patients Department or in the Ward. A numbers of parameters, including Age, gender, cause, type of injury and treatment provided were assessed. Out of 448 patients, 318 were male and 130 were female. Majority of patients belong to 3[rd] decade [21-30 years] of life. Road traffic accidents 56.91% accounted for the majority of cases of maxillofacial fractures followed by assault 10.49%, fall 19.86%, sports 4.68% Mandible was seen as the most commonly fractured bone 44% [287] followed by maxillary bone 23.92% [156], Zygomatic bone complex 18.40% [120] and majority of the bony maxillofacial injuries were treated by open reduction and internal fixation [ORIF]. Males of age group 21-30 years were more frequently involved in maxillofacial fractures. Road traffic accident was the most common cause of trauma in this part of the country, which requires proper implementation of traffic legislation use of helmet while riding the cycle or motor bike. Mandible was fractured in majority of cases; common treatment modality of maxillofacial fractures at our center was Maxillo-mandibular fixation with miniplates

Level of awareness and knowledge among general dental surgeon regarding oral cancer

The study was conducted to assess the level of awareness and knowledge Among general dental surgeon regarding oral cancer. Cross sectional study. This study was conducted among general dental practitioners of Hyderabad city from January to February 2013. A self administered questionnaire comprising of 12 questions was distributed among the 50 general dental practitioners of Hyderabad city. The level of knowledge and awareness among general dental practitioners regarding oral cancer and its sign and symptoms was not up to the level expected. Our study Clearly shows that continuous medical education is needed at general practitioner level so early diagnosis and better prognosis of oral cancer could be made possible

Associated injuries with facial trauma - a study

Objectives: the objectives of the study were to determine the incidence of associated injuries with maxillofacial fractures and to enlist the age and gender distribution of maxillofacial trauma and also to find out cause, bone most frequently affected with it

Material and methods: history was taken from patients affected with facial trauma along with 2 diagnostic radiographs. Age, gender, cause, type of injury and fractures elsewhere in the body were recorded. Study was carried out at Emergency Department of Liquate University Hospital Hyderabad in a period of 1 year i.e. from 1[st] January 2011 to 30 December 2011

Results: total of 680 patients was included in this study. Out of these males were predominantly affected [72%], mean age was found to be 36.4 years. Road traffic accident [RTA] was the most common cause of injury [51%] and mandible was the most common bone involved [51%]. Out of associated injuries tibia [12.35%] and ulna [11.23%] were most common injuries

Conclusion: our study showed a high frequency of trauma in males in 3[rd] decade of life. Road traffic accident [RTA] was the most common cause and mandible the most common bone affected. Tibia and ulna were common associated injuries with facial trauma