Oral complaints and level of satisfaction among the removable denture wearers - a study

Prosthodontics treatments are associated with oral complaints like speech, mastication, pain, esthetics etc. Oral complaints vary among removable partial denture and complete denture wearers. The objective of this study was to investigate the common oral complaints and level of satisfaction in removable denture wearers seen to Department of Prosthodontics, Bacha Khan Medical College, Mardan. Data of oral complaints and level of satisfaction from 100 patients; fifty complete dentures and 50 removable partial dentures were recorded on specially designed proforma. Demographics [age and gender], details of dentures [presence and type of dentures; removable partial denture or complete denture], problems with dentures [wearing, eating, communication, aesthetics, psychological], and satisfaction with dentures were recorded. The eating and wearing problems were more significant with complete denture as compared to removable partial denture p<0.005. Speaking were more difficult with removeable as compared to complete dentures p=0.004. No statistically significant difference was found for psychological between both types of wearers CD wearers were less satisfied with quality and shape of teeth than RPD wearers. Females are less satisfied than males

Chronic maxillary sinusitis with an unusual presentation

Maxillary sinus is the most commonly affected sinus. Complications arise due to spread of infection beyond the bony walls of sinus. It is rare to see a maxillary cutaneous fistula in the absence of dental disease in this modern era. This is a case report of a 40 years old female presenting as a I cm diameter open fistula on the cheek secondary to maxillary sinusitis along with osteomyelitis. Pus culture and sensitivity revealed resistant strains of staphylococcus aureus and pseudomonas aeruginosa. Once osteomyelitis was settled with antibiotics, diseased sinus mucosa was removed, inferior meatal antrostomy carried out, fistulous tract excised, anterior maxillary wall repaired with iliac crest bone graft and wound repaired in layers