ABSTRACT
PURPOSE: This research aims to study the effects of low-dose aspirin on bleeding after exodontia and to compare statistically and analyze perioperative blood loss during exodontia in patients on aspirin therapy and healthy patients and also to discuss the various measures if required necessary for controlling postoperative bleeding in simple and uncomplicated exodontia. MATERIALS AND METHODS: The study included 100 patients, ranging in age from 30 to 60 years. The patients were divided into two groups, a test group consisting of 50 patients who were on a daily dose of 75-150 mg of aspirin and a control group consisting of 50 patients not on any antiplatelet therapy. All extraction procedures were performed on outpatient basis. Patients were operated under local anesthesia. Post-extraction sockets were checked for bleeding immediately (30 min) and followed up at 24, 48, and 72 h, and 1 week, after the procedure. RESULTS: Amount of intraoperative blood loss was similar in both test and control groups, and there was no excessive postoperative bleeding in any case. Out of 100 patients, only three patients of test group and two patients of control group required level II hemostatic measures and two patients of test group needed level III measures. CONCLUSION: We could reach a conclusion and recommend that patients on long-term low-dose aspirin (75-150 mg) need not to discontinue their aspirin dose prior to routine exodontia and can be carried out safely with enhanced local hemostatic measures, if required.
ABSTRACT
Odontogenic Keratocyst (OKC) and Ameloblastomas are slow growing benign odontogenic lesions that primarily occur in the molar region of the mandible. Clinically and radiographically both ameloblastoma, especially the Unicystic ameloblastoma and OKC are indistinguishable due to the similar location of occurrence and the age of patients. It is very rare for these lesions to arise simultaneously in a patient's jaw. The co-occurrence of Ameloblastomas with odontogenic cysts or other odontogenic lesions (histologically in a single lesion)have already been described as combined or hybrid lesions. There are very few reported cases in the English literature for simultaneous occurrence of Unicystic Ameloblastoma and OKC as completely distinct lesions. Here we present such a rare case of the simultaneous occurrence of OKC and ameloblastoma in the posterior region of the mandible of a 22-year-old male in close relation.
ABSTRACT
BACKGROUND: The microbiology of acute dental infections has been in the midst of many researches. Various bacteriological studies show variations in their conclusion. The purpose of our study was to evaluate the microbial flora in orofacial space infections of odontogenic origin, which is essential for appropriate antibiotic selection. MATERIALS AND METHODS: Thirty-five patients with odontogenic infection causing fascial space involvement were included. Aspirated specimen was transported in nutrient broth and thyoglycollate media within an hour for further culture and sensitivity testing. RESULT AND CONCLUSION: This study indicates that orofacial odontogenic infections are usually polymicrobial, consisting of a complex mixture of both anaerobes and aerobes.
ABSTRACT
The Gorlin-Goltz syndrome (GGS) is also known as nevoid basal cell carcinoma syndrome. It is characterized by multiple keratocystic odontogenic tumors (KCOTs) in the jaw, multiple basal cell nevi carcinomas and skeletal abnormities. The syndrome may be diagnosed early by a dentist during the routine radiographic exams in the first decade of life, since the KCOTs are usually one of the first manifestations of the syndrome. This article reports the series of 3 cases, emphasizing its clinical and radiographic manifestations of GGS.
ABSTRACT
AIMS AND OBJECTIVE: The stainless steel (SS) implants are economical and easily available. Tissue reaction due corrosion of metallic plates and release of metal particles in surrounding soft tissues is the main reason put forward by advocates of removal of SS miniplates after period of fracture healing. The objectives of this study were to examine the surfaces changes and corrosion in relation to indigenously manufactured SS mini-plates, both due to intraoperative instrumentation and tissue reaction. The composition of these mini-plates and any metal release in surrounding soft tissues was also studied. MATERIALS AND METHODS: Total ten plates retrieved from fracture sites, after a period of 4-12 months (mean 8 months), were studied with the help of scanning electron microscope for roughness and corrosive changes. EDX study was done to know the composition of plates and metal release from the plates. RESULTS: Our study found the above parameters were comparable to previously reported studies in the international journals CONCLUSION: Though no major corrosion and tissue reaction was observed in this study a long term study will be required for absolute recommendation regarding necessity of removal of indigenous SS plates on regular basis.
ABSTRACT
Even today the ability to provide the patient with clinically adequate pain control with minimum systemic side effects is one of the major concerns all over the world. Lignocaine, the most commonly used local anesthetic agent in oral surgery due to its rapid onset & reasonably good potency, does not have adequate duration of action, unless used with Adrenaline, a drug known for its cardiovascular effects. Centbucridine, a non-ester, non-amide group local anesthetic agent developed in India at C D R I Lucknow, has advantage of inherent vasoconstrictor property. This study was planned to compare 0.5% Centbucridine and 2% Lignocaine with Adrenaline, in exodontia patients. The results were recorded for their efficacy and C V S action and statistically analyzed. Centbucridine was found to be an ideal local anesthetic agent with no effects on cardiovascular parameters and exhibiting a sufficient degree of local anesthetic activity suitable for use in routine minor surgery cases. This will be advantageous where Adrenaline is absolutely contraindicated due to systemic problems.
ABSTRACT
The issue of metal release from stainless steel bone plates has gained considerable momentum advocating the removal of stainless steel miniplates after healing of fracture. So far no study has been published in the literature regarding metal release with the indigenously manufactured stainless steel miniplates.Objective Aim of the study was to find any pathological changes at cellular and ultracellular levels and metal particles in the soft tissue surrounding the stainless steel miniplates.Method Retrieval of indigenous stainless steel implants, used in treatment of jaw fractures, samples of surrounding soft tissue were histopathologically assessed for tissue response as well as metal release, using light microscope and Transmitted Electron Microscope (TEM).Result Light microscopic examination revealed chronic inflammation in symptomatic cases, but TEM did not show any significant pathological alteration and metal deposits even in cases with clinically observed pigmentation. Short-term (upto 1 year) retention of stainless steel mini plates will not cause any significant local complications.
