ABSTRACT
Clefts of lip and palate presents a distressing blow to the family of the patient and their surgical correction a challenging task for the reconstructive surgeon. The patients affected with this deformity are handicapped by the psychological feeling of separation from the society in addition to the horror of a chain of surgeries and visits to the dental office. In addition to these single procedures requiring two stage approach add to the existing sequence further hampering the psychological well being of the patient. Closure of a wide palatal cleft often entails a two stage closure to ensure proper speech and functional outcomes to prevent future dehiscence of wounds leading to fistulae formation. This paper discusses the report of a patient reporting with wide palatal cleft of hard and soft palate treated by a single stage closure in an attempt to reduce the number of surgical procedures for the patient, resulting in a satisfactory treatment outcome considering the width of the cleft and age of the patient at the time of presentation.
ABSTRACT
odontomas are mixed benign odontogenic tumors because of their origin from epithelial and mesenchymal cells. Complex odontomas involve more pathological changes than compound odontomas. Odontomas are commonly treated by conservative surgical approach and have less probability of recurrence. During Surgical treatment of large odontomas, a large portion of bone has to be excised. Different Graft options have been discussed in the literature for continuity of this defects. In this case report , an attempt was made to reconstruct a large surgical defect created after surgical excision of a considerably large complex odontome of maxilla by using autografts harvested from the neighbouring buccal area to avoid morbidity of the donor site and the results are satisfactory.
ABSTRACT
Dentigerous cyst is most common odontogenic cyst after radicular cyst.Dentigerous cyst associated with crown of impacted tooth or developing teeth.Generally dentigerous cysts are treated by enucleation .If cyst is large treated by marsupialization followed by enucleation to prevent pathological fracture. In present case we have removed large dentigerous cyst en-toto under local anaesthesia.
ABSTRACT
Among dental anomalies, tooth transposition is considered the most difficult to manage clinically. Distal migration of permanent mandibular lateral incisor happens rarely. It can be discovered radiographically in the early mixed dentition & interceptive treatment is often appropriate. If left uncorrected it may erupt ectopically and the results are often unsatisfactory both esthetically and functionally. When transpositions are detected early the positions of the root apices are important in deciding where to move the transposed tooth. This article reports a case of early orthodontic treatment of a rare unilateral mandibular left lateral incisor – canine transposition.