ABSTRACT
The loss of teeth and their replacement by artificial denture is associated with many problems. Pre-prosthetic surgical procedures are performed to provide a better anatomic environment and to create proper supporting structures for construction of dentures. Whenever inadequate vestibular depth is present in edentulous mouth, deepening of vestibule is considered to increase the retention and stability of denture. Deepening of vestibule without any addition of the bone is termed as vestibuloplasty. This article describes the ease and convenience of vestibuloplasty followed by the use of Bhawsar-Karandikar stent to maintain the soft tissue modifications. The study yielded promising results and patient acceptance.
ABSTRACT
Osteomas are benign, slow-growing osteogenic tumours rarely occurring in the craniofacial bones. Osteomas are characterised by the proliferation of compact and/or cancellous bone. It can be of a central, peripheral, or extra skeletal type. The peripheral type arises from the periosteum and is rarely seen in the mandible. The lingual surface and lower border of the body are the most common locations of these lesions. They are usually asymptomatic and can be discovered in routine clinical and radiographic examination. In this paper, the authors present a large solitary peripheral osteoma located in the inferior surface of the left angle of mandible and causing facial deformity in a 14-year-old boy. Radiographic examination by diagnostic radiographs revealed mixed appearance (radiopaque- radiolucent), well-circumscribed, pedunculated mass approximately 3.5 cm in size. The osteoma was removed surgically, and no recurrence has been observed.