ABSTRACT
Reactive hyperplasias comprise a group of fibrous connective tissue lesions that commonly occur in oral mucosa secondary to injury. Peripheral fibroma is also a type of reactive hyperplasia. Peripheral fibroma is a reactive hyperplastic mass that occurs on the gingiva and is derived from connective tissue of the submucosa or periodontal ligament. It may occur at any age, although it does have a predilection for young adults. Females develop these lesions more commonly than do males. Here, we are presenting a case report of a child who is 6 years old and presented to us with a swelling in the lower anterior region which was providing discomfort to the child and also was obstructing the eruption pathway of the permanent central incisor in the region. The lesion was surgically excised.
Subject(s)
Fibroma/diagnosis , Gingival Neoplasms/diagnosis , Tooth Eruption/physiology , Child , Diagnosis, Differential , Female , Gingival Overgrowth/diagnosis , Humans , Incisor/pathology , Incisor/physiology , Tooth, Deciduous/pathologyABSTRACT
The following study was conducted in Meenakshi Ammal Dental College on 32 patients. The objective of our study was to assess the efficacy of arthrocentesis for the management of acute closed lock of TMJ. All patients presented with a history of sudden and persistent difficulty in mouth opening and associated TMJ pain. A total of 27 female and 5 male patients were treated using arthrocentesis and lavage under local anesthesia. Patients were assessed for pain and jaw function using visual analogue scales, VAS I (Fig. 4b), VAS II (Fig. 4c), respectively and mouth opening MMO (Fig. 4a) for a period of 6 months. Our results showed satisfactory relief in pain and improved mouth opening in 30 patients. The results proved that arthrocentesis is a very useful technique for treatment of acute closed lock of TMJ. However to arrive at a definitive conclusion a long term evaluation is required.
