Use of buccal fat pad for reconstruction of intraoral defects

The aim of this prospective trial is to assess the utility of Buccal Fat Pad for closure of small and medium sized defect following excision of intra-oral lesions. Thirty five cases with intraoral lesions including thirty one cases of Squamous Cell carcinoma and four cases of severe dysplasia, recruited from the outpatient service of the department of ENT-Head and Neck Surgery, Jinnah Postgraduate Medical Centre, Karachi from 2005 till 2007. All these lesions were limited to buccal mucosa. Most these patients were males [28 males and 7 females] with ages ranging from 24 to 70 years. The buccal fat pad filled wound in all the patients showed complete epithelialization within three weeks, except for two cases who had partial dehiscence of the flap. These too were healed spontaneously without any need of secondary suturing. Five patients had some degree of restricted mouth opening but this limitation improved on mouth opening exercises with wooden tongue spatulas. We believe that Buccal fat pad flap is a simple, reliable, and convenient flap, with least of complication and donor site morbidity and should be employed in filling the small and medium size defect of oral mucosa

Critical evaluation of material and procedures used for the functional peripheral moulding of special trays

Border molding is done to record the peripheral margins of the denture and to ensure their extension to the sulcus reflection and in the post dam area in the maxilla. With the use of green stick compound for border moulding it is possible to record the border details accurately but it tends to be messy and it is difficult to determine the consistency and proper temperature. Therefore, the use of thermoplastic compound has been examined and recommended to be kept to a minimum due to the availability of simpler techniques and easy to handle and accurate materials. Students may now be introduced to the various techniques and materials for border moulding along with the concept behind the procedure. This will enable them to decide on their own which technique to employ and master. In this paper, a critical evaluation of the various materials and techniques used for border moulding of the special tray is given. It is not the authors' intention to criticize the current methods of teaching in our dental schools but to encourage the readers to broaden their vision of the often complex but fascinating craft of complete denture construction

Effect of accidental periapical extrusion of calcium hydroxide paste [A case report]

Calcium hydroxide is an effective biocompatible substance that has been widely studied in scientific research, and is regarded as the material of choice for treating intracanal infections. The paper discusses a case of a non vital central incisor with a large periapical lesion, in which calcium hydroxide paste containing iodoform as a radiopacifier was used. There was an un-intentional extrusion of calcium hydroxide during application. The patient was seen at a regular periodic recall for one year. The followup revealed that the accidental extrusion of calcium hydroxide did not have any detrimental effect on periapical healing

Occurrence of post-tonsillectomy hemorrhage in pediatric age group

Occurrence of post tonsillectomy hemorrhage in pediatric age group. This study was conducted at ENT department Jinnah Post Graduate Medical Center Karachi and Kulsoom Bai Valika Social Security Hospital between Nov 2007 and Nov. 2009. Prospective study. Five hundred patients of pediatric age group were included who had undergone tonsillectomy. Patients included having recurrent episodes of tonsillitis required medical treatment. These episodes occurred 4-5 times in two years or 2-3 episodes in a year. Exclusion criteria included children less than 3 year or older than 14 year, history of acute tonsillitis within six weeks, sign of recent upper respiratory tract infection. The tonsils were removed by dissection and diathermy method. Hemostasis secured by ligature and electrocautery technique. Patients observe for post tonsillectomy haemorrhage in ward and follow up after discharge on 6, 12 and 15th day. 44.4% of patients were male and 55.6% were female and mean age presentation is 8.7 years. The overall incidence of post-operative hemorrhage is 4%, of these 15% were primary hemorrhage and secondary hemorrhage is 85%. The incidence of secondary hemorrhage was 3.4%. The 76% of secondary hemorrhage was managed by conservative management and 23.5% patient need surgical intervention and one patient required blood transfusion

Acquaintance of dental professionals in relation to emergency management of tooth avulsion in Karachi

Avulsion of permanent tooth is the most serious of all dental injuries. The prognosis depends on the measures taken at the place of accident or the time immediately after the avulsion. An appropriate emergency management and treatment plan is important for a good prognosis. The objective of the present study was to evaluate and investigate the knowledge of dental professionals about the emergency management of tooth avulsion in Karachi. Two hundred questionnaires were distributed amongst General dental practitioner, Postgraduate trainees and house officers, the questions were related to knowledge of how to treat and manage the traumatic avulsion of teeth. Out of 200 dentists targeted 50% were involved in Continuing Education Programme 25% updated their knowledge through journals and books. While rest had only information they got during their education at dental schools. The data suggested that the level of knowledge on the management of dental avulsion among dental professional in city of Karachi is adequate