Patterns of partial edentulism among armed forces personnel reporting at armed forces institute of dentistry Pakistan

Aim of this study was to determine the frequency of occurrence of various patterns of partial edentulism in armed forces personnel seen at the department of Prosthodontics, Armed Forces Institute of Dentistry [AFID]. Utilizing convenience sampling 1000 patients were selected. Kennedy's Classification was utilized after applying Applegate's rules to record the patterns of partial edentulism. Partial edentulism in maxillary arch, was found in 32.6% patients, while 36.8% personnel had partial edentulism in mandibular arch. The remaining 30.6% of samples had missing teeth in both arches. Kennedy's Class III was found to be the most prevalent pattern in both maxilla and mandible. Kennedy's Class III modification 1 was the most common modification encountered in both arches. Highest percentage of combination pattern found was maxillary Class III opposing mandibular Class III. A higher frequency of partial edentulism among the younger age groups found in this study was alarming and is suggestive of the need to create awareness among armed forces health care system for timely prevention of diseases causing tooth loss

Comparison of analgesic efficacy of tramadol hydrochloride with diclofenac sodium in dento-alveolar surgery

The purpose of this study was to find a safe and effective analgesic alternative to non-steroidal anti-inflammatory drugs [NSAIDs] for patients undergoing dento-alveolar surgery who could not tolerate NSAIDs. We have compared on a double blind, randomized basis the efficacy of Tramadol hydrochloride with Diclofenac Sodium.. Sixty patients undergoing third molar surgery were divided into two groups. One group was given tramadol hydrochloride 50mg three times daily and the second group diclofenac sodium 50mg three times daily for three days. Pain control was measured using a 0 to 10 numerical scale. The analgesice efficacy of the two drugs was equal except on day one when tramadol did better than diclofenac. Tramadol can be used safely for post operative analgesia after dento-alveolor surgery especially in situations where NSAIDs are contraindicated

Cleido-cranial Dysplasia

A 19-year old patient reported with mid face deficiency, un-erupted teeth and functional bite problems, his history revealed that he has another elder brother with the same birth condition. His chief concern was functional class III bite problems as well as poor aesthetics. He was clinically examined thoroughly to diagnose and label his condition. On examination, it was seen that he was able to join his shoulders [hypoplastic clavicles], mid face deficiency and relative mandibular prognathism, while hypertelorism was also noticed. On intra-oral examination, a high maxillary arch with all permanent teeth were found to be fully erupted except 3rd molars, right and left canines, incisors and left 1st premolar. The right central incisor was partially erupted. Left deciduous canine was retained. In the mandibular arch, relatively less permanent teeth were erupted. The teeth found missing were 3rd molars, all premolars except left 2nd premolar, right lateral incisor and both canines. The right 2nd deciduous molar, right and left deciduous canines and right deciduous lateral incisors were found retained. The crowns of all permanent 1st molars were grossly carious but without involvement of the pulp. The oral hygiene was not satisfactory with generalized plaque and calculus. After initial periodontal, conservative and extraction treatment, patient was ready for the dentures. On radiographic assessment [OPG], un-erupted teeth were present along with five supernumerary teeth in the lower arch and one in the upper arch