Association of oral lichen planus with hepatitis-C and diabetes mellitus

The aim of the study is to determine the association of oral lichen planus with hepatitis C and diabetes mellitus

A retrospective cohort study was carried out at the Department of Oral and Maxillofacial Surgery, Sardar Begum Dental College, Peshawar from January 201 1 to July 2015. A total of 34 male and female patients having oral lichen planus were selected with age range 20-60 years and mean age 39.4 +/- 15.8 years. Only clinical features were included to diagnose oral lichen planus which was made through the clinical evaluation of patient's oral cavity by a specialist team at the Department as proposed by van der Meij et al in 2003 based on the WHO definition of oral lichen planus. The data were analyzed through SPSS 22 with significance level ofp-value <0.05 and chi-square statistics were applied for association

The results showed that the data was statistically not significant with p-value >0.05 for all diseases having lichen planus and chi-square statistics revealed that no association exist among lichen planus, diabetes mellitus and hepatitis C. This study fails to find any association between oral lichen planus, hepatitis C and diabetes mellitus

Pattern and management of iatrogenic displacement of teeth in maxillofacial anatomical spaces

Iatrogenic displacement of teeth is a rare incidence in expert surgical hands but they are frequently encountered when a difficult surgical extraction of the tooth is attempted by inexperienced dental surgeons. The present study is aimed at knowing the frequency, pattern and the surgical technique of retrieval of such displaced teeth. This study comprised of 21 iatrogenically displaced teeth over a period of 9 years in two hospitals i.e., Sardar Begum Dental hospital and Khyber College of Dentistry and Hospital Peshawar. Iatrogenic displacement was predominantly common in males as compared to females with male to female ratio of 2.5:1; the most common age group of the patient was the third decade of life i.e., 38.06% with age ranging from 19 to 57 years and mean age of 32.381 SD +/- 10.195. Only two patients presented delayed, all the rest of the patients presented the very second day of their previous surgery. Eighteen patients were operated under general anesthesia while the rest of the three were managed under local anesthesia using lignocaine 2% with adrenaline. The surgical approaches used for retrieval were intra oral using three corner flap, extra oral, intra oral through the socket using 3 corner flap and Caldwell luc operation

Causes of tooth extraction amongst diabetic patients seen in a dental hospital in Peshawar

The aim of the study was to evaluate the causes of common conditions leading to tooth extraction, male/female ratio in diabetic patients. This was a retrospective cohort study. Data were collected from previous records between January 2011 to July 2015 from the Department of Oral and Maxillofacial Surgery, Sardar Begum Dental College, Peshawar. Among 2,103 total diabetic patients presented to the department, 1,618 diabetic patients have their complete record for tooth extractions. The primary reasons for exodontia specified in the records were Caries, Periodontitis, others. Others include those patients who have extractions either due to preprosthetic purpose, trauma or fracture or any other reason other than caries and periodontitis. The data was analysed through SPSS 22. The mean age presentation was 47.50 +/- 19.82 years and the age range 25-70 years. There were 1,618 extractions carried out in 2,103 subjects [76.94%]. The female diabetic patients predominate n=983 [60.75%] the male patients n=635 [39.25%]. Caries was the dominant cause of tooth extraction in both subjects n= 1042 [64.40%] followed by periodontitis n= 416 [25.71%] and others n=160 [9.90%]. Caries is the dominant cause of extraction in diabetic patients and female diabetic patients predominate male diabetic patients in terms of tooth extraction

Patterns of minor salivary gland tumors in Khyber Pahktunkhwa

Present study was carried out to determine the pattern of minor salivary gland tumors, diagnosed at City Medical Laboratory, Peshawar [Pakistan]. The study was conducted at Sardar Begum Dental College using the Anatomical pathology records of City Medical Laboratory, Peshawar from January 2003 to December 2012 and were analyzed by Statistical Program for Social Sciences version 16. A total of 78 cases were diagnosed as minor salivary gland tumors. Out of these 47 were benign and 31 malignant. The male to female ratio for both benign and malignant tumors was 1:1.7. The mean age was 40.39 years. The most common benign tumor was Pleomorphic adenoma [89.3%] and malignant was Adenoid cystic carcinoma [87.09%]. The hard palate was the most common affected site [57.4% in benign and 32.2% in malignant tumors]. The present study showed a different pattern of occurrence of malignant minor salivary gland tumors among the population of Khyber Pahktunkhwa as compared with the European and American population

Risk factors for temporomandibular joint ankylosis in different age groups

To identify the risk factors responsible for the development of temporomandibular Joint ankylosis. The study was carried out in the Department of Oral and Maxillofacial Surgery at King Edward Medical University, Lahore, Pakistan from April 2005 to April 2009. Two hundred patients with Temporo mandibular Joint Ankylosis were recruited in this study. To identify the risk factors, patients were divided in different groups according to their age so that the most common risk factor was identified amongst these patients. The groups were A. 6 months to 8 years, B. 9-17 years, C. 18-25 years. D>25 years. Risk factors identified were history of fall, road traffic accident, middle ear infection, autoimmune diseases and no obvious history. The highest percentage of the patients belonged to Group B [50%] and history of fall was the main risk factor in the development of Temporomandibular joint ankylosis [72.5%] with p value < 0.05. Trauma is the major factor of Temporomandibular joint ankylosis in all age groups in Pakistan. In this context, we conclude that this complication is a preventable entity if early post traumatic rehabilitation is instituted