Etiology and pattern of swellings in mandible and maxilla

To determine the etiology and pattern of swellings in the mandible and maxilla. A descriptive study. This study was conducted at Oral and Maxillofacial Surgery Dept, Armed Forces Institute of Dentistry Rawalpindi for two years from December 2004 to December 2006. Three hundred and fifty patients with swellings in the jaws reporting to AFID were included in this study. After history, clinical examination and radiographic evaluation, patients were registered. All patients whether admitted to hospital or treated as outdoor patients in oral surgery clinic were included. Swelling of the parotid region, nasal and para nasal sinuses and neck were not included. In majority 131 [37.42%] the patients were of age between 21 to 30 years [mean 25.5 years]. Males were affected more than females with ratio 1.3:1. The most common swellings found were inflammatory which accounted for 138 cases [39.42%] due to odontogenic reasons i.e. caries and non vital teeth. The most frequent site involved was mandible which accounted for 202 cases [57.71%]. In 111 cases [31.71%] the treatment modality used was incision and drainage followed by antibiotics. Caries and non-vital teeth were cause of the most common inflammatory swellings. The predominant site of swellings was the mandible. Every person must visit a dentist for oral examination six monthly so that early lesions in mandible and maxilla can be detected and treated more conservatively

comparative study of management of zygomatic bone fracture with fracture hook versus Gillies approach

Malar Traction Hook technique and Gillies Temporal approach were objectively compared to ascertain the effectiveness and postoperative complications of two procedures. 50 patients were randomly assigned to either of two techniques irrespective of age and sex. Patients were evaluated clinically and radio graphically preoperatively and postoperatively up to 3 months. Any complication observed during postoperative period was noted. Percutaneous Malar traction hook technique was found better than Gillies temporal approach in respect of operative time, post operative pain, wound healing, duration of hospital stay and post operative paresthesia cure rate

Functional rehabilitation by gap arthroplasty in temporomandibular joint ankylosis

A study was carried out from Jan 1999 till Dec 2001 at oral and maxillofacial department, AFID, Rawalpindi. The purpose of the study was twofold i.e.; retrospective to determine the cause of temporomandibular joint ankylosis and prospective to see the results of functional rehabilitation by gap arthroplasty with coronoidectomy followed by immediate postoperative mouth opening exercises with Monoblock by Reichenbach. Fifty [50] patients [63 joints] were treated and are regularly followed up. Study showed that major cause of temporomandibular joint ankylosis was trauma [88%] and the mean postoperative IED obtained through operative procedure and postoperative rehabilitation was 30.89 mm