Frequency of denture induced fibrous hyperplasia among a sample of Jordanian royal medical services dental patients

The study was done to determine the prevalence of denture induced fibrous hyperplasia [DIFH] in a sample of Jordanian people and to investigate the correlation between DIFH and the age, gender, location of the lesions and the denture wearing period. This study was performed on a sample of Jordanian people at Marka Medical Center situated in the middle of Jordan between January and June 2013. A total of 450 complete denture wearers, consisted of 260 female and 190 male with an age range of 34-78, were divided into two age groups, the first ranging in age from 34-60 and the second from 61-78 years. Patients were examined for the presence and location of the lesions based on their clinical picture. The data were analyzed using the SPSS Registered software version 12 package. The prevalence of Denture Induced Fibrous Hyperplasia was 8% among denture wearers, it was found to be more common in females than in males, most lesions were found in the 34-60 years old group, in the anterior area than the posterior area and in the lower jaw than the upper jaw. It was concluded the denture induced fibrous hyperplasia is not a common manifestation in denture wearer living in the middle of Jordan, However, there was statistical significant correlation between DIFH and patients related factors such as gender, location of lesions, and the denture- wearing period

Orbital trapdoor fractures, when to intervene the royal medical services experience

Orbital fractures are commonly seen with midfacial trauma. Fracture severity ranges from small minimally displaced fractures of an isolated wall that require no surgical intervention to major disruption of the orbit. This is a retrospective study of patients with orbital trapdoor fractures who underwent surgery to determine the outcome of surgical intervention in relation to the timing of surgery. Present study included 9 patients [age range 11-28 years] who underwent surgery for trapdoor fractures from 2004 to 2010 at King Hussein Medical Centre, Amman and its affiliated hospitals. Data collected included age, aetiology, surgical technique, time interval between trauma and surgical intervention and complications. Diplopia, paraesthesia and ocular motility were recorded. The follow-up duration averaged 12 months. At follow-up, 0[0%] of 3 patients who underwent surgery within 24 hours [urgent treatment] had residual diplopia. In contrast, 2 [66%] of 3 patients who underwent surgery 24 to 96 hours [early treatment] and 3 [100%] of 3 who underwent surgery after 72 hours [late treatment] had diplopia. Early surgical intervention in patients with trapdoor fractures is associated with a better clinical outcome in terms of diplopia and skin paraesthesia compared with delayed procedures