Minimally invasive techniques for sinus floor elevation using dental implants among Indians.

It is of interest to compare conventional lateral window technique, trans-alveolar technique with minimally invasive technique like modified trephine technique and antral membrane balloon elevation technique for sinus floor elevation in placement of dental implants. The current study included 140 participants (191 dental implants) who had maxillary posterior edentulous regions and had low sinuses and insufficient alveolar ridges but had chosen an implant-retained prosthesis. The minimally invasive techniques of sinus augmentation can be suitable alternative to conventional traumatic techniques due to low incidence of pain, gingival swelling. Moreover, the success rate of implants and increase in total bone height was almost same in minimally invasive techniques of sinus augmentation as compared to conventional traumatic techniques.

Efficacy of the Atraumatic Physics Forceps Over Conventional Extraction Forceps in Extraction of Tooth-Does it Offer an Alternative in All Types of Extraction or Only can be Used in Few Selected Types of Extraction: A Comparative Study.

We conducted this study to evaluate the efficacy of physics forceps in dental extractions as compared with conventional forceps and as well as to evaluate its atraumatic point of view. Materials and Methods: A total of 200 healthy adult patients were included in the study who reported for dental extractions, divided into two groups each containing 100 patients. The patients were randomly allocated into either group by lottery method. Results: Operating time in the physics forceps group was found to be significantly reduced as well as lesser incidence of dry socket was noted which was statistically significant on the 2nd day postoperatively. However, incidence of root fracture, buccal plate fracture, and gingival lacerations were not found to be statistically significant but their occurrence was less in the physics forceps group as compared with the conventional forceps group. Conclusion: To conclude, we can say that extractions done by physics forceps results in significant reduction in unnecessary trauma as well as stress to both the operator and patient. The forceps is an atraumatic extraction system which is a boon for the profession, thereby reducing ridge deformities and preparing the patients for future prosthesis.

Post-Traumatic Bilateral Superolateral Dislocation of Intact Mandibular Condyle with Symphysis Fracture Causing Typical Bird Facies Resembling TMJ Ankylosis and Asphyxia: An Unusual Case Report.

This article reports a unique case of superolateral dislocation having a posterior component also, causing severe mandibular retrognathia (bird face deformity) and airway compression (asphyxia). Contemporary literature was also reviewed extensively, and it was found that no such type of case has been reported until date. The article also reviews etiology, causative mechanism of injury, clinical features, diagnosis and treatment planning of superolateral dislocations.

Combination of Articaine and Ketamine V/S Articaine Alone After Surgical Extraction of Impacted Third Molars.

OBJECTIVE: Local anesthetics are the most effective drugs available for the management of pain while performing operative procedures. This study was performed to compare the clinical efficacy of treatment with local anesthetic articaine (4%) with ketamine and local anesthetic articaine alone (4%) for the relief or prevention of postoperative pain, swelling, and trismus after the surgical extraction of impacted mesioangular third molars. MATERIALS AND METHODS: Sixty patients undergoing the extraction of impacted mesioangular mandibular third molars were included in the study. The patients were randomly divided into two groups: local anesthetic alone (LAA) and local anesthetic plus ketamine (LAK). RESULTS: Facial swelling following surgery on postoperative days was significantly lower in the LAK group than in the LAA group on 3rd and 7th postoperative days (P < 0.05). Mouth opening on the postoperative days was significantly greater in the LAK group than in the LAA group on 3rd and 7th postoperative days (P < 0.05). The pain scores on the visual analog scale at 30 min and 1 h, 4 h, 12 h, and 24 h after the surgery were significantly higher in the LAA group than in the LAK group and there was no significant difference in heart rate, oxygen saturation, and blood pressure in both the groups. CONCLUSION: In this present study, the effect of articaine with ketamine in comparison with articaine alone intraoperatively and postoperatively was observed, and it revealed that the combination of articaine with ketamine produced good local anesthesia and provide good postoperative analgesia with less swelling and significantly less trismus.

Is treatment with platelet-rich fibrin better than zinc oxide eugenol in cases of established dry socket for controlling pain, reducing inflammation, and improving wound healing?

OBJECTIVES: To appraise the effectiveness of platelet-rich fibrin (PRF) in the management of established dry socket in terms of pain, inflammation, and wound healing. MATERIALS AND METHODS: Two hundred patients with established alveolar osteitis were studied to determine the efficacy of PRF and zinc oxide eugenol (ZOE) for pain control, inflammation reduction, and wound healing. Patients were randomly allocated to Group A (PRF) or Group B (ZOE). Patients were examined on the 1st, 3rd, 7th, and 14th postoperative day and evaluated for pain using visual analogue scale scores, inflammation with a gingival index score, and wound healing through a determination of the number of bony walls exposed. RESULTS: Group A showed better results in terms of pain remission, control of inflammation, and wound healing compared to Group B. Results between groups were statistically significant (P<0.05). CONCLUSION: PRF is a better alternative than ZOE for the effective management of alveolar osteitis.

Retraction: Is treatment with platelet-rich fibrin better than zinc oxide eugenol in cases of established dry socket for controlling pain, reducing inflammation, and improving wound healing?

[This retracts the article on p. 76 in vol. 45, PMID: 31106135.].