Skinnerwalsh0246

Aim To review the management and reconstruction of ameloblastoma of mandible in different age groups over a period of 11 years. Methodology This retrospective study includes 51 cases operated in the Maxillofacial Unit, Bhagwan Mahaveer Jain Hospital, Bangalore, from the year 2007 to 2017. The data of these patients were collected to record demographic data such as age, gender with site of tumour and type of reconstruction after resection, follow-up period and incidence of complications. This study evaluated the outcome in terms of aesthetics, function and choice of reconstruction in different age groups. Results Most patients were of 21-40 age group. 37 (72.5%) were found to be unicystic ameloblastoma. 41 (80.3%) patients underwent reconstruction following the resection. There was a change in trend seen over a period of time with free grafts and reconstruction plate being historical, except in special situations like old age and unfit patients. According to one-way ANOVA and Tukey's post hoc analysis, free flaps were known to take a longer duration (mean = 503 min) compared to other modes of reconstruction. However, free grafts and free flaps were demonstrated to have a good facial contour and speech with most cases dentally rehabilitated with implants. Among the complications, 1 (16%) case with reconstruction plate showed screw loosening, 2 (28%) cases with free grafts showed graft exposure, and 1 (3.5%) case with free flap had venous congestion, making free flaps the most reliable option. Conclusion Free fibula is the gold standard of mandible reconstruction, but depending on age, medical condition, economic status and size of the defect other modes of reconstruction can be chosen with the acceptance of suboptimal results. © The Association of Oral and Maxillofacial Surgeons of India 2019.Objective To retrospectively study the cases diagnosed with osteomyelitis of jaw in AMC Dental Hospital. https://www.selleckchem.com/products/jnj-64619178.html Study Design A total of 27 cases of osteomyelitis of jaw were analysed retrospectively from 2014 to 2018 at Department of oral and maxillofacial surgery, AMC Dental Hospital, Ahmedabad, India. Result Totally 27 cases of osteomyelitis were noted; 12 (44.44%) patients had involvement of maxilla, and 15 (55.55%) patients had involvement of the mandible. Twenty-one patients had underlying systemic disease, and 13 patients had history of substance abuse. The underlying aetiology in 20 patients was found due to odontogenic cause. There were only 3 patients having osteomyelitis without any underlying disease or any other predisposing factors. Conclusion Incidence of osteomyelitis and its outcome in the present study led to a better understanding of the aetiologic factors and its treatment. The results hypothesized a substantial correlation for onset of osteomyelitis with the underlying medical conditions and substance abuse. There was a higher correlation found between comorbid conditions and osteomyelitis of maxilla. Thorough study of the treatment revealed that conventional treatment plan is adequate for treating cases of osteomyelitis if the associated medical problem is also simultaneously treated and given due importance. © The Association of Oral and Maxillofacial Surgeons of India 2019.Introduction The tobacco use and the dietary intake/levels of vitamin C and E, and the trace elements, iron, copper, zinc, and selenium are interrelated with the development of oral precancer. These micronutrients are necessary for maintaining good oral health. Aims To estimate the nutritional status, vitamin E, C and micronutrient level of zinc, iron, copper, and selenium, and basic vitals in all study groups. Material Method The study sample is comprised of 384 subjects. There were three study groups, and in each study group, there were 128 subjects. Group A was tobacco users without oral precancer/dysplasia. Group B was tobacco users with oral precancer (H/P confirmed). Group C was healthy individuals with no history of tobacco or areca nut use and oral precancer. Data have been collected using a standard structured predesigned questionnaire for evaluation of the nutrition level of the subject; 5 mL blood has been collected for estimation of micronutrients; and basic vitals such as pulse rate and blood prer. The deficiency of certain micro nutrients may lead to disease progression. We can say that a healthy diet comprising of vegetarian and plain food may lead to solving issues of oral health. Conclusion The above-highlighted text shows that micronutrients play dominant role in maintenance of oral health and its deficiency may result in the growth of oral precancer. So involving diet rich in zinc, iron, selenium, vitamin E and C may help in maintaining healthy nation. © The Association of Oral and Maxillofacial Surgeons of India 2019.Aim The objective of the study was to assess the efficacy of xenograft (BIO-OSS) and platelet-rich fibrin in maxillary sinus augmentation using lateral window approach. Materials and Methods A total of 22 direct sinus lifts were done within a period of two years, and the results were analyzed using two parameters (1) augmented bone height and (2) bone density in the maxillary sinus. Pre-operative and three-month CT scan was taken for all the 22 patients. Bone densities were calculated using CT scan, and the results were compared between xenograft (BIO-OSS) and platelet-rich fibrin (PRF). Results Statistical analysis of the two groups was performed using independent t test and paired t test, and results were tabulated. © The Association of Oral and Maxillofacial Surgeons of India 2019.Purpose To evaluate the correlation between the position of inferior alveolar nerve canal and the angulation of impacted mandibular third molars using cone beam computed tomography (CBCT) in a hospital-based study in the state of Odisha, India. Materials and Methodology Three hundred cases of impacted third molars in 200 patients (154 males; 46 females) were included in the study, for whom an initial periapical or panoramic radiograph had revealed that the mandibular canal and the lower third molars were in close proximity. A CBCT scan of each patient was carried out to assess how the canal position influenced the class and position of impaction, angulation of impaction and bone contact. Results Class II position B impactions were found in 78.37% cases where the position of ID canal was approximate to the lingual plate and inferior to third molar (73.75%). The results were statistically significant (p = 0.00). 80% of the ID canals showed bone contact. Of these 73.75% ID canals showed lingual bone contact. Mesioangular impactions were most common in mandible and significantly associated with lingual and inferior positioning of the canal.