RESUMO
Oral submucous fibrosis [OSF] has always been recognized as a chronic, progressive and disabling disease of the oral mucosa. It is a well-recognized pre malignant condition which in most cases leads to oral squamous cell carcinoma [OSCC]. The objective of this study was to compare the presentation of OSF alone and in patients who have developed OSCC. This cross sectional study was conducted in the Department of Oral Medicine and Oral and Maxillofacial Surgery, Dr Ishrat-ul-Ibad Institute of Oral Health Sciences, Karachi. Out of 106 patients who were diagnosed with OSF, 17 had OSCC as well. The most common presenting complaints amongst patients presenting with OSF along and OSF with OSCC were limited mouth opening and mouth ulcers respectively [p= 0.001]. When compared with patient having OSF alone, patients presenting with OSF and associated OSCC were significantly older and gave history of prolonged use of areca nut and betel quid
RESUMO
The aim of the study was to assess temporalis muscle flap as an interpositional material for arthroplasty in patients with temporomandibular joint ankylosis and to identify the most common cause of temporomandibular joint ankylosis. Fifty patients of different age groups, reporting to Oral and Maxillofacial Surgery Department of Armed forces Institute of Dentistry were enrolled in study. Surgical procedure involved condylectomy followed by temporalis muscle flap interpositioning. First postoperative maximal incisal opening [MIO] was recorded on 5th post-op day. Patients were regularly followed up for a period of 18 months and their maximal incisal opening [MIO] was finally recorded. Trauma was found to be the main etiologic factor in TMJ ankylosis[n=46, 92%], followed by infections [n=3]. No case of relapse of limited mouth opening was seen during 18 months followup. Temporalis muscle proved to be a successful interpositional material with low morbidity and complications for the treatment of temporomandibular joint ankylosis
RESUMO
Oral pathology is one of the major basic dental science subject taught to 3rd Year BDS students. Like other basic dental science subjects, oral pathology is gradually emerging as specialty in Pakistan as more students pursue post-graduation opportunities both nationally and internationally. Graduate students are trained according to standard outlines directed at familiarizing them to the pathologies of the oral cavity. However, at the undergraduate level the current oral pathology curriculum currently taught in Pakistan Dental College is quite vague and needs thorough revision. The aim of this article is to make some suggestions for the improvement of the oral pathology curriculum with emphasis on geographical variations of oral diseases worldwide