Management of maxillo-facial cases in dental office: a report of four cases

ABSTRACT

To expose the importance of evidence based and clinical based treatment plan versus the outdated descriptive method of dental/maxillofacial treatment. We have projected four classical maxillo-facial cases referred to GMC Sharjah oral surgery clinic seeking suitable treatment. In reference to the case reports we executed the treatment plan based on evidence, thorough clinical evaluation and were unique from the earlier treatment as the nidus was treated rather than implementing descriptive routine treatment. So in these clinical cases we noticed that the patients had cosmetic, functional, aesthetic and psychological problems and had lost the hopes of definitive treatment to their needs and comfort. We did all the required invasive and non-invasive investigations and then spend time with patients in conducting detail case study which cracked the nidus and each case was dealt based on the cause and requirement which landed up with less invasive treatment procedure with less expense which was beneficial for the patient. To our clinical experience and with the recent updates we were able to simplify the treatment and execute the treatment such as simple precise excision of lip, changing the position of sleeping, stabilization of teeth with existing orthodontic wires and simple release of spasm of lateral pterygoid muscle under local anesthesia gave results with good prognosis[1, 2, 3, 6]. Detail case study with the existing clinical evidence would be appropriate for treating the cause and implementing the treatment protocol which would account for good efficient favorable treatment with least invasive procedure and with minimal expense. These cases had given full acceptance of the treatment implemented on them and the cases being kept classified and their prior acceptance photos and their treatment are discussed