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Background: Extraction of teeth is the commonest surgical procedure carried out in the dental surgery setting. The purpose of this survey was to identify the causes of teeth extraction in Kashmiri population. Material & Methods: This study was done on the patients who were referred to Department of Oral and Maxillofacial Surgery Government Dental College Srinagar for tooth extraction for the period of 6 months from February 2019 to July 2019. Total of 3000 patients were included in this study. Results: There were 1680 (56%) extractions in males and 1320 (44%) in females with male?to?female extraction ratio of 1.2:1. In both male and female gender, there were more teeth extractions between the ages of 11 and 30 years. The commonest tooth to be extracted was 1st molar both in upper (27.2%) and lower (30.4%) arch. The commonest reasons for teeth extraction were caries (53.4%; 1602/3000). Conclusions: The result of this study shows that dental caries is the commonest reason for tooth extraction in Kashmiri population. It is hoped that the study will facilitate the development of treatment and preventive procedures relevant to the problems, thus minimizing the loss of teeth and its expected adverse consequences.
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Introduction: Prolotherapy is a minimally invasive techniqueused in the treatment of temporomandibular disorders.Prolotherapy agent induces an inflammatory process in thejoint, stimulates fibroblast proliferation, hence facilitatesthe healing process and strengthens the joint and associatedligaments and tendons. The main aim of this article wasto study the effect of 25% dextrose prolotherapy ontemporomandibular joint pain, clicking and maximum mouthopening by using different injection sites.Material and methods: Sixty patients with establisheddiagnosis of unilateral disc displacement with reduction whocomplained of unilateral symptoms (pain and clicking) wereincluded in the study. They were randomly allocated to threegroups (Group A, Group B and Group C) of 20 patients each.Group A patients received intra-articular injections into thesuperior joint space, Group B patients received injections intothe inferior joint space where as Group C patients were giveninjections into the retrodiscal tissues. Each group receivedsubsequent injections at first, second and third weeks at therespective sites. Pain, clicking and maximum mouth opening(MMO) was recorded pre-operatively, post-operatively at 3weeks and 2 months.Results: Group B and Group C patients showed a significantdecrease in the pain score at 3 weeks and 2 months postoperatively while as no significant pain relief was observed inGroup A. Maximum mouth opening improved significantly inGroup B and Group C patients at 3 weeks and 2 months andwas highest in Group C. Reduction in clicking was best seenin Group C.Conclusion: Prolotherapy is more effective when injectionsite is selected as per the type of symptoms of the patientswith temporomandibular disorders.
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Background: Regional anesthesia is the most commonmethod to anesthetize the patient prior to office basedprocedures. Many techniques can be employed to achieveanesthesia of the dentition and surrounding hard and softtissues of the maxilla and mandible. Aim of the study Toassess the safety and effectiveness of super fi cial cervicalplexus (SCP) block in oral and maxillofacial surgical (OMFS)practice as an alternative to general anesthesia in selectivecases.Materials and Methods: The total number of patients was 50,out of which 35 were male and 15 were female patients.Informed & written consent were obtained from the patientsafter they had the procedure explained tothem. Medicallycompromised patients and those who were excessivelyanxious and apprehensive, patient who did not want theprocedure to be done under regional anesthesia, and patientswitha history of allergy tolocal anesthetic were excluded. Allpatients had their surgical procedures under regionalanesthesia (SCP block with supplemental nerve blocks)performed by the same surgeon under the supervision ofanesthesiologist with continuous monitoring.Results: SCP block with concomitant mandibular nerve andlong buccal nerve block has a high success rate, lowcomplication rate, and high patient acceptability as shown inthe study.Conclusion: Superficial cervical plexus block anesthesia is asafe and useful anesthetic technique with the low risk ofaccidents and complications, thus a good alternative forregional anesthesia in OMFS cases.
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The aim of our study is to assess the need for postoperative antibiotics following simple exodontia and determine its role in minimizing patient discomfort and postoperative complications. Methods: All the patients undergoing simple extractions were grouped into two categories: Group 1, patients receiving antibiotics, and Group 2, patients receiving no antibiotics. Patients were recalled on the sixth day to assess postoperative complications. On recall, patients were evaluated for signs of persistent inflammation and signs of dry socket. Presence of persistent inflammation and/or suppuration on the 6th day was considered as wound infection. Results: A total of 200 patients were included in this study. Out of the total sample, 185 (92.5%) presented with no postoperative complications and 15 (7.5%) had postoperative complications, out of which 12 (6%) patients presented with dry socket (alveolar osteitis), 5 (5%) in the antibiotic group and 7 (7%) in the non-antibiotic group. Only 3 patient (1.5%) was reported with infection of the extraction socket 1 in antibiotic group and 2 in the non-antibiotic group. Conclusion: Antibiotics are not required after simple extractions in patients who are not medically comprised nor do they have any role in preventing postoperative complications.
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Cleidocranial dysplasia is an autosomal dominant heritable disorder caused by mutation in the gene encoding transcription factor Core Binding Factor Subunit Alpha 1 (CBFA1) or Runt related transcription factor 2 (RUNX2). It is characterized by aplasia or hypoplasia of the clavicles, characteristic craniofacial malformations, and the presence of numerous supernumerary and unerupted teeth. A 37 year old male with cleidocranial dysplasia is described in this article with cyst associated with impacted teeth as the first presentation.
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Background: The main purpose of this study was to determine the prevalence of odontogenic cysts in Kashmiri population. Methods:The data on odontogenic cysts (OCs) treated in the department of Oral and Maxillofacial Surgery Government Dental College Srinagar from January 2011 to December 2016 was collected retrospectively. The information regarding patient’s age, sex, location of the cyst and the type of the odontogenic cyst was recorded and analysis was done using descriptive statistics. Results: A total of 152 OCs were identified out of which 87 were male and 65 female with male to female ratio of 1.3:1. The OCs were seen to predominate in the second, third and fourth decades of life, the most common anatomic location being the mandibular posterior region (40.8%). Radicular cyst dominated among the OCs (50.6 %) followed by dentigerous cyst (23%), odontogenic keratocyst (10.5%), residual cyst (8.6 %), lateral periodontal cyst (5.3 %) and paradental cyst (1.9 %). Radicular cysts most frequently involved the maxillary anterior region (33.8%) while as dentigerous cysts and odontogenic keratocysts were more common in the man-dibular posterior region (54.3% and 56.3% respectively). Conclusion: Radicular cyst and dentigerous cyst are the most prevalent odontogenic cysts in Kashmiri population; etiology being the dental decay (pulpal necrosis) and impacted teeth. In order to decrease the prevalence of radicular and dentigerous cysts, preventive measures need to be taken to diminish dental decay and programs of prophylactic extractions of impacted teeth need to be established
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Background: One of the treatment modalities of mandibular and midface fracture is closed reduction with the use of intermaxillary fixation (IMF), in which the fractured segments are immobilized adjacent to each other and this procedure results in the reunion of the separated segments. It has been shown that there is a direct relation between nutrition and the healing process of the body therefore treatment with IMF could possibly affect the healing process. In this study, we evaluated the effects of IMF on paraclinical factors like protein profile and lipid profile which are markers for malnutrition condition, so further thoughts can be given to prevent malnutrition by using different supplements. Methods:30 Patients having mandibular fracture which needed closed treatment was selected for this study. All patients were treated with a 4 weeks period of IMF. Lipid profile factors [total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglyceride (TG)] and protein profile factors [hemoglobin (Hb), albumin (Alb)] were measured before the start of IMF and after the 4 weeks period of IMF. Results: there occur decrease in the level of Alb and the reduction was statistically significant. There occur slight increase in Hb level at the end of treatment however the result was statistically insignificant. also there occur decrease in the level of TC, HDL, LDL and TG after the treatment but the result was statistically insignificant. Conclusion: it was concluded that treatment with IMF can result in malnutrition conditions although not severe. so when close reduction techniques are used as the treatment plan in maxillofacial region, a supplemental nutrition planning is very thoughtful thing to do.
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Background: The aim of this study was to investigate the most common accurate position of the mental foramen in selected Kashmiri population, which helps in several clinical procedure and nerve block anesthesia. Methods: The study sample included one thousand panoramic radiographs of selected population of Kashmir that presented to postgraduate department of oral and maxillofacial surgery, Govt. dental college and hospital Srinagar from 2008 to 2015. Results: The most common Horizontal position of the mental foramen was below the root of second premolar tooth i.e. position 4 (44.77%). Conclusion: This may help the clinicians and anthropologists in identifying the mental foramen more accurately.
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Background: The most common post-operative complications following extraction of tooth is dry socket or alveolar osteitis. The aim of our study is to evaluate the efficacy of honey in the management of dry socket. Methods: Sixty patients of dry socket were selected from the outpatient department of oral and maxillofacial surgery. A diagnosis of dry socket was made clinically. Honey was used as a dry socket dressing in all the patients. The parameters like pain, swelling, hyperemia, lymphadenopathy and formation of granulation tissue were assessed in the postoperative period upto 3 weeks. Results: In this study there was significant reduction in inflammation, hyperemia, and swelling after honey dressing that resulted in soothing effect and reduction in pain and discomfort. .No side effect of honey was observed in our study, so it can be used as an alternative for the management of dry socket. Conclusions: There are no side effects of honey. Excess use of eugenol can lead to necrosis of bone. The honey can be used as medicament for the management of dry socket.