Evaluation of blood glucose concentration in patients with diabetes undergoing tooth extraction after administration of local anesthesia with or without adrenaline

The aim of this study was to determine the mean blood glucose concentration in patients with dia-betes undergoing tooth extraction after administration of local anesthesia with or without adrenaline. A Randomized control trial [RCT] study was carried out from October 2015 to June 2016 in the De-partment of Oral and Maxillofacial Surgery of Islamic International Dental Hospital [IIDH] Islamabad on 60 diabetic patients undergoing tooth extraction requiring administration of local anesthesia. All patients were randomly divided into two equal groups that is group A [lignocaine without adrenaline] and group B [lignocaine with adrenaline]. Blood glucose concentration measurements were taken 10 minutes before, 10 minutes and 20 minutes after administration of local anesthesia. Data were analyzed through SPSS version 17.Patient's age ranged from 25-75 years. Average age of patient was 64.5+/-9.86. There were 37% males and 23% females in both groups. The mean blood glucose concentration was increased in group B when compared to group A from 154 to 163.2mg/dl at 10 minutes. This increase in blood glucose concentration was statistically not significant [P ? 0.05]. There was statistically significant [P<0.05] increase in blood glucose concentration in group B when compared to group A from 155.0 to 176.16 mg/dl at 20 minutes.It was concluded that though 2% lignocaine with adrenaline is widely used local anesthetic, it should be cautiously used in type 2 diabetics

Evaluation of secondary alveolar bone grafting procedures

The most common procedure followed globally for the bony repair of a cleft palate is by grafting the iliac crest in the defect. The objective of this study was to evaluate the success of the alveolar bone grafting procedures carried out at our institute by using the Berglands Index. A total of 12 patients were evaluated by taking periapical radiographs of the grafted site 6 months post surgery. It was found that 77% of the patients had a bone level of more than 3/4. It was also deduced that the success rate of the grafted bone was 100% when the bone was grafted before the eruption of the canine while success rate dropped to 40% in patients in which the procedure was performed after the eruption of the canine

Management of cleft lip and palate: an appraisal of 50 cases managed in oral and maxillofacial surgery department, armed forces institute of dentistry, Rawalpindi, Pakistan

From Jan 2006 to Dec 2007 a total of 50 patients of congenital cleft lip and palate were managed in oral and maxillofacial surgical department of Armed Forces Institute of dentistry [AFID], Rawalpindi. Cleft of the lip was repaired with functional repair technique, and cleft in the palate was repaired using intra velor veloplasty. Cleft lip and palate is a congenital anomaly which requires a coordinated care of the patient involving multiple disciplines of medicine and dentistry. Unfortunately the incidence of clefts is on a rise in developing countries due to lack of awareness and improper handling of pregnancy by the mother. Lack of resources on the part of both, i.e., patients and the medical professionals is not helping the cause. Although a comprehensive care of the cleft patients is far from a reality in the subcontinent, we are reporting the cleft lip and palate cases which have been treated in coordination with different specialties accessible at the Armed Forces Institute of Dentistry [AFID], Rawalpindi. In this study, we highlight the demographics, clinical features and surgical management of cleft lip and palate