Pub Date : 2023-07-15DOI: 10.18231/j.ijmi.2023.014
Ayesha Moin, A. Shafath, S. Kale
Administration of local anesthetic drug that prevents pain during dental treatment is of absolute importance. Act of injecting local anesthetic should be nonpainful and atraumatic. The maxilla is very porous and highly vascular. Therefore, anesthesia of maxillary teeth can be accomplished more easily than with mandibular teeth. The aim of this study is to determine the anesthetic efficacy of the conventional technique of posterior superior alveolar (PSA) and greater palatine nerve(GP) block anesthesia as compared to the buccal and palatal technique in terms of pain during injection, after extraction, after 15mins of the procedure and quality of anesthesia during the extraction procedure. The study also intends to determine the incidence of positive aspiration in the infiltration technique. This randomized clinical study was carried out on 154 patients who reported to the Department of Oral and Maxillofacial Surgery, Sri Rajiv Gandhi College of Dental Sciences & Hospital Bangalore, requiring extraction of maxillary second and third molar teeth. The patients received anesthesia using the conventional nerve block technique and infiltration technique randomly on each side of the mouth. Patients were assessed for pain during the injection, after extraction, and after 15mins of the procedure with each technique using Visual Analog Scale (VAS). The patients were also assessed for pain using the Verbal Response Scale (VRS). The positive aspiration was assessed for each technique. During tooth extraction, quality of anesthesia was assessed using an eight-point category rating scale. The results obtained were analyzed using Chi-square test. It was concluded that the buccal infiltration technique is less painful for the patient as compared to the posterior superior alveolar nerve block. This technique has a lower frequency of positive aspiration as compared with the PSA nerve block. However, the PSA nerve block technique provides better-quality of anesthesia. It can be concluded that the infiltration technique appears to be a successful alternative with additional advantages, as compared to the nerve block technique.
{"title":"Comparison of posterior superior alveolar and greater palatine nerve block with local infiltration for extraction of maxillary molars in oral surgery – A randomized controlled trial","authors":"Ayesha Moin, A. Shafath, S. Kale","doi":"10.18231/j.ijmi.2023.014","DOIUrl":"https://doi.org/10.18231/j.ijmi.2023.014","url":null,"abstract":"Administration of local anesthetic drug that prevents pain during dental treatment is of absolute importance. Act of injecting local anesthetic should be nonpainful and atraumatic. The maxilla is very porous and highly vascular. Therefore, anesthesia of maxillary teeth can be accomplished more easily than with mandibular teeth. The aim of this study is to determine the anesthetic efficacy of the conventional technique of posterior superior alveolar (PSA) and greater palatine nerve(GP) block anesthesia as compared to the buccal and palatal technique in terms of pain during injection, after extraction, after 15mins of the procedure and quality of anesthesia during the extraction procedure. The study also intends to determine the incidence of positive aspiration in the infiltration technique. This randomized clinical study was carried out on 154 patients who reported to the Department of Oral and Maxillofacial Surgery, Sri Rajiv Gandhi College of Dental Sciences & Hospital Bangalore, requiring extraction of maxillary second and third molar teeth. The patients received anesthesia using the conventional nerve block technique and infiltration technique randomly on each side of the mouth. Patients were assessed for pain during the injection, after extraction, and after 15mins of the procedure with each technique using Visual Analog Scale (VAS). The patients were also assessed for pain using the Verbal Response Scale (VRS). The positive aspiration was assessed for each technique. During tooth extraction, quality of anesthesia was assessed using an eight-point category rating scale. The results obtained were analyzed using Chi-square test. It was concluded that the buccal infiltration technique is less painful for the patient as compared to the posterior superior alveolar nerve block. This technique has a lower frequency of positive aspiration as compared with the PSA nerve block. However, the PSA nerve block technique provides better-quality of anesthesia. It can be concluded that the infiltration technique appears to be a successful alternative with additional advantages, as compared to the nerve block technique.","PeriodicalId":282949,"journal":{"name":"IP International Journal of Maxillofacial Imaging","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122886368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-15DOI: 10.18231/j.ijmi.2023.015
Dimple Sehia, Shiva Kumar H R, K. Rai, Raj Keerthi
To evaluate alterations in temporomandibular joint due to immobilisation and re-mobilisation in oral submucous fibrosis patients. The study population included 2 groups, patients and normal – 22 TMJ’s of 11 individuals respectively. MRI was performed on all patients pre-operatively and 5 month post-operatively and also on controls. Disc thickness (anterior, intermediate and posterior zone), disc length, joint space and structural changes in the glenoid fossa and condylar head were assessed in all the MRI scans. The severity of changes in relation to duration of reduced mouth opening was noted. And, finally regeneration potential of the TMJ after remobilizing the jaw, on 5th month POD was observed. All the measurements were tabulated and subjected to statistical analysis. The study showed that there were significant differences in the pre-op and normal. The post treatment values/dimensions were comparatively the same as that of the normal population (except for joint space on right side and disc length on left side, which is negligible). It proves that the treatment makes the condition comparably similar to that of normal dimension over a time period of 5 months, sighting the potential capacity of the TMJ to regenerate and repair. The study revealed statistically highly significant changes in the components of Temporomandibular joint in OSMF patients with varying degrees of restriction in mouth opening when compared to controls, and return of the joint structurally towards recovery at 5 month POD stresses upon the need for an early intervention.
{"title":"Evaluation of temporomandibular joint changes seen in pre-operative and post-operative patients of oral submucous fibrosis using MRI: A prospective study","authors":"Dimple Sehia, Shiva Kumar H R, K. Rai, Raj Keerthi","doi":"10.18231/j.ijmi.2023.015","DOIUrl":"https://doi.org/10.18231/j.ijmi.2023.015","url":null,"abstract":"To evaluate alterations in temporomandibular joint due to immobilisation and re-mobilisation in oral submucous fibrosis patients. The study population included 2 groups, patients and normal – 22 TMJ’s of 11 individuals respectively. MRI was performed on all patients pre-operatively and 5 month post-operatively and also on controls. Disc thickness (anterior, intermediate and posterior zone), disc length, joint space and structural changes in the glenoid fossa and condylar head were assessed in all the MRI scans. The severity of changes in relation to duration of reduced mouth opening was noted. And, finally regeneration potential of the TMJ after remobilizing the jaw, on 5th month POD was observed. All the measurements were tabulated and subjected to statistical analysis. The study showed that there were significant differences in the pre-op and normal. The post treatment values/dimensions were comparatively the same as that of the normal population (except for joint space on right side and disc length on left side, which is negligible). It proves that the treatment makes the condition comparably similar to that of normal dimension over a time period of 5 months, sighting the potential capacity of the TMJ to regenerate and repair. The study revealed statistically highly significant changes in the components of Temporomandibular joint in OSMF patients with varying degrees of restriction in mouth opening when compared to controls, and return of the joint structurally towards recovery at 5 month POD stresses upon the need for an early intervention.","PeriodicalId":282949,"journal":{"name":"IP International Journal of Maxillofacial Imaging","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122131630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-15DOI: 10.18231/j.ijmi.2023.016
Govindaraju Sethuraman, Vanathan Kumaran Jimsha, S. Srinivasan, Mariyappan Jonathan Daniel
Maxillofacial trauma refers to any injury to the face or jaw caused by physical force, foreign objects, or burns. For all traumatic events imaging examination is an essential component which is done both pre-operatively and post-operatively. This study was to assess the accuracy of CBCT imaging and the conventional imaging in evaluation of maxillofacial fracture. To assess the maxillofacial fracture using conventional radiography and CBCT. To compare the diagnostic acurracy of cone beam computed tomography (CBCT) with conventional radiography. To validate the best method for assessment of maxillofacial trauma.: Depending on type of fracture conventional imaging and CBCT imaging was done. Following which fracture was assessed using AOCMF classification.The most common fracture was zygomatic complex fracture of about 76.9%. CBCT showed significant P-value in assessment of level-2 fracture evaluation, extension of fracture and in Level-3, number of fragment, angulations, displacement, inferior obital fissure, crown root fracture assessment. The sensitivity and specificity of CBCT was better than conventional imaging. CBCT assess the maxillofacial fracture more precisely than conventional imaging.
{"title":"Accuracy of imaging modalities (CBCT/conventional radiography) in maxillofacial fractures - A cross sectional study","authors":"Govindaraju Sethuraman, Vanathan Kumaran Jimsha, S. Srinivasan, Mariyappan Jonathan Daniel","doi":"10.18231/j.ijmi.2023.016","DOIUrl":"https://doi.org/10.18231/j.ijmi.2023.016","url":null,"abstract":"Maxillofacial trauma refers to any injury to the face or jaw caused by physical force, foreign objects, or burns. For all traumatic events imaging examination is an essential component which is done both pre-operatively and post-operatively. This study was to assess the accuracy of CBCT imaging and the conventional imaging in evaluation of maxillofacial fracture. To assess the maxillofacial fracture using conventional radiography and CBCT. To compare the diagnostic acurracy of cone beam computed tomography (CBCT) with conventional radiography. To validate the best method for assessment of maxillofacial trauma.: Depending on type of fracture conventional imaging and CBCT imaging was done. Following which fracture was assessed using AOCMF classification.The most common fracture was zygomatic complex fracture of about 76.9%. CBCT showed significant P-value in assessment of level-2 fracture evaluation, extension of fracture and in Level-3, number of fragment, angulations, displacement, inferior obital fissure, crown root fracture assessment. The sensitivity and specificity of CBCT was better than conventional imaging. CBCT assess the maxillofacial fracture more precisely than conventional imaging.","PeriodicalId":282949,"journal":{"name":"IP International Journal of Maxillofacial Imaging","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125442742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-15DOI: 10.18231/j.ijmi.2023.013
P. Teja, Ankit Uppal, S. Mittal, Aashee Verma, Gunjan Aneja, Mahak Gagain
The purpose of this study was to compare mandibular asymmetry in different malocclusions, including Angle's Class I malocclusion, Angle's Class II div 1 malocclusion, Angle's Class II div 2 malocclusion, Angle's Class II subdivision and Unilateral posterior cross bite.: A total number of 150 subjects with the age range of 18-24 yrs with no signs and symptoms were selected for the study (n=30). The condylar asymmetry index (CAI), ramal asymmetry Index (RAI) and Condylar and Ranal Asymmetry Index (CRAI) for each patient was measured using panoramic radiograph. The results were analyzes using Kappa test, Dahlberg’s formula and Tukey HSD Post Hoc test. : Group IV (Angle's Class II subdivision malocclusion) had the maximum Condylar Asymmetry Index (13.07 ±12.43mm) whereas Group II (Angle's Class II div 1 malocclusion) had the minimum Condylar Asymmetry Index (7.89 ±8.71mm). Group III (Angle's Class II div 2 malocclusion) had the maximum Ramus Asymmetry Index (3.84 ± 2.54%) whereas Group II (Angle's Class II div 1 malocclusion) had the minimum Ramus Asymmetry Index (2.82 ± 1.94%). Condylar and Ramus Asymmetry Index was seen in Group IV (Angle's Class II subdivision malocclusion) (3.61 ± 2.43 mm) whereas minimum condylar and ramus asymmetry index was seen in Group V (Unilateral posterior cross bite) (2.42 ± 2.08 mm). However, no statistically significant differences were found.: No statistically significant difference was found in vertical mandibular asymmetry indices when compared in different malocclusions. No gender related statistically significant difference was found in all groups.
本研究的目的是比较不同错颌的下颌不对称性，包括Angle的I类错颌、Angle的II类1类错颌、Angle的II类2类错颌、Angle的II类细分和单侧后交叉咬合。:选取年龄在18-24岁，无症状体征的受试者150例(n=30)。采用全景x线片测量每位患者的髁突不对称指数(CAI)、髁突不对称指数(RAI)和髁突与Ranal不对称指数(CRAI)。采用Kappa检验、Dahlberg公式和Tukey HSD事后检验对结果进行分析。:第IV组(Angle’s Class II细分错牙合)髁突不对称指数最大(13.07±12.43mm)，第II组(Angle’s Class II div 1错牙合)髁突不对称指数最小(7.89±8.71mm)。III组(Angle的II类div 2错颌)的支不对称指数最高(3.84±2.54%)，II组(Angle的II类div 1错颌)的支不对称指数最低(2.82±1.94%)。IV组(Angle’s Class II细分错颌)髁支不对称指数为3.61±2.43 mm, V组(单侧后交叉咬合)髁支不对称指数最小(2.42±2.08 mm)。然而，没有发现统计学上的显著差异。不同错颌的下颌垂直不对称指数比较，差异无统计学意义。各组间无性别相关的统计学差异。
{"title":"Evaluation of vertical mandibular asymmetry in different malocclusions- A panoramic study","authors":"P. Teja, Ankit Uppal, S. Mittal, Aashee Verma, Gunjan Aneja, Mahak Gagain","doi":"10.18231/j.ijmi.2023.013","DOIUrl":"https://doi.org/10.18231/j.ijmi.2023.013","url":null,"abstract":"The purpose of this study was to compare mandibular asymmetry in different malocclusions, including Angle's Class I malocclusion, Angle's Class II div 1 malocclusion, Angle's Class II div 2 malocclusion, Angle's Class II subdivision and Unilateral posterior cross bite.: A total number of 150 subjects with the age range of 18-24 yrs with no signs and symptoms were selected for the study (n=30). The condylar asymmetry index (CAI), ramal asymmetry Index (RAI) and Condylar and Ranal Asymmetry Index (CRAI) for each patient was measured using panoramic radiograph. The results were analyzes using Kappa test, Dahlberg’s formula and Tukey HSD Post Hoc test. : Group IV (Angle's Class II subdivision malocclusion) had the maximum Condylar Asymmetry Index (13.07 ±12.43mm) whereas Group II (Angle's Class II div 1 malocclusion) had the minimum Condylar Asymmetry Index (7.89 ±8.71mm). Group III (Angle's Class II div 2 malocclusion) had the maximum Ramus Asymmetry Index (3.84 ± 2.54%) whereas Group II (Angle's Class II div 1 malocclusion) had the minimum Ramus Asymmetry Index (2.82 ± 1.94%). Condylar and Ramus Asymmetry Index was seen in Group IV (Angle's Class II subdivision malocclusion) (3.61 ± 2.43 mm) whereas minimum condylar and ramus asymmetry index was seen in Group V (Unilateral posterior cross bite) (2.42 ± 2.08 mm). However, no statistically significant differences were found.: No statistically significant difference was found in vertical mandibular asymmetry indices when compared in different malocclusions. No gender related statistically significant difference was found in all groups.","PeriodicalId":282949,"journal":{"name":"IP International Journal of Maxillofacial Imaging","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131170556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-15DOI: 10.18231/j.ijmi.2023.010
Sowmya Gujjar Vishnurao
The ability of machines to carry out tasks that typically involve human intelligence is known as artificial intelligence (AI). It is a development in computer science that solves a number of intricate problems that are currently plaguing society. These models have shown to be a breakthrough in terms of delivering trustworthy information for decision making, and their main benefit is that they offer logic for clinical decision making. Consequently, AI may play a big part in forensic dentistry (FO). In order to serve the welfares of justice, FO entails the examination, assessment, administration, and presentation of dental evidence in criminal or civil cases. It is an essential component of forensic science that is key to the identification of people, whether they are living or dead. In terms of gathering, evaluating, and reporting evidence, digital forensics has successfully and consistently supplanted traditional forensic investigations. Therefore, learning and understanding in this area are necessary.
{"title":"Digital forensics – A gain to dentistry","authors":"Sowmya Gujjar Vishnurao","doi":"10.18231/j.ijmi.2023.010","DOIUrl":"https://doi.org/10.18231/j.ijmi.2023.010","url":null,"abstract":"The ability of machines to carry out tasks that typically involve human intelligence is known as artificial intelligence (AI). It is a development in computer science that solves a number of intricate problems that are currently plaguing society. These models have shown to be a breakthrough in terms of delivering trustworthy information for decision making, and their main benefit is that they offer logic for clinical decision making. Consequently, AI may play a big part in forensic dentistry (FO). In order to serve the welfares of justice, FO entails the examination, assessment, administration, and presentation of dental evidence in criminal or civil cases. It is an essential component of forensic science that is key to the identification of people, whether they are living or dead. In terms of gathering, evaluating, and reporting evidence, digital forensics has successfully and consistently supplanted traditional forensic investigations. Therefore, learning and understanding in this area are necessary.","PeriodicalId":282949,"journal":{"name":"IP International Journal of Maxillofacial Imaging","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121052248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-15DOI: 10.18231/j.ijmi.2023.018
Kedar Kawsankar, H. Saluja, Seemit Shah, Anuja Deshpande
The neoplasms of the salivary glands account about 2% of head and neck tumours and among them, the Pleomorphic adenoma is the most common form. It is benign epithelial lesion of salivary gland origin, showing histopathological variation. The pleomorphic adenoma shows female predilection. The common sites for the intraoral Pleomorphic Adenoma are palate, buccal mucosa and lips. The article presents a case of Pleomorphic Adenoma of minor salivary gland of palate, which was treated successfully by surgical excision.
{"title":"Management of pleomorphic adenoma of minor salivary gland- A case report","authors":"Kedar Kawsankar, H. Saluja, Seemit Shah, Anuja Deshpande","doi":"10.18231/j.ijmi.2023.018","DOIUrl":"https://doi.org/10.18231/j.ijmi.2023.018","url":null,"abstract":"The neoplasms of the salivary glands account about 2% of head and neck tumours and among them, the Pleomorphic adenoma is the most common form. It is benign epithelial lesion of salivary gland origin, showing histopathological variation. The pleomorphic adenoma shows female predilection. The common sites for the intraoral Pleomorphic Adenoma are palate, buccal mucosa and lips. The article presents a case of Pleomorphic Adenoma of minor salivary gland of palate, which was treated successfully by surgical excision.","PeriodicalId":282949,"journal":{"name":"IP International Journal of Maxillofacial Imaging","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126569914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-15DOI: 10.18231/j.ijmi.2023.002
P. Agarwal, Deepak Ramnani, A. Tambi
Facial injuries occur in significant proportion in trauma patients requiring prompt diagnosis and management. The number of maxillofacial injuries is continuously increasing due to rise in traffic, failure to take preventive measures in the traffic leads to road traffic accidents, which is the main etiological factor in maxillofacial fractures. To study role of multidetector tomography in evaluation of maxillofacial injuries. To describe the advantages of 3D reconstructed images over axial images in the imaging of facial fractures. This cross-sectional study included 100 patients who underwent CT evaluation of facial bones when they presented with evidence of fracture of maxillofacial bones on a 64-slice volume scanner (SIEMENS SOMATOM definition) in Geetanjali Medical College and Hospital, Udaipur during February 2019 to July 2020. RTA comprised of 76.19% cases. Assault and fall from height were 11.42 and 12.38%. The maxilla, the walls of its sinus were the most commonly involved bone with 71.42% next was Naso-orbito-ethmoid 68.57%. Zygomatic bone and mandible fractures were 50 and 38.09%. The type 2 frontal bone fractures were commonly seen 12 (31.5%) followed by Type 3, 10 (26.02%), Type 4 & Type 1 seen in 6 (15.7%) and Type 5 was the least common injury seen 4 (10.52%). The medial wall of the orbit was most commonly involved 49 (35.76%). Le Fort fracture lines were identified in 17 occasions with Le Fort II seen 9 (52.9%). The advantages of 3D images within the assessment of facial trauma might be described especially in mandible and cheekbone. 3D images were better within the identification of Le Fort fracture lines. The coronal reconstructed images are superior in the detection of fractures in the orbit and maxilla. 3D images have a limited role in fractures involving the naso-orbito-ethmoid region and also when there is minimal fracture displacement.
面部损伤在创伤患者中占很大比例，需要及时诊断和处理。由于交通流量的增加，颌面外伤的数量不断增加，在交通中不采取预防措施导致道路交通事故，是导致颌面骨折的主要原因。目的:探讨多探测器断层扫描在颌面部损伤诊断中的作用。描述三维重建图像相对于轴向图像在面部骨折成像中的优势。这项横断面研究包括100名患者，他们在2019年2月至2020年7月期间在乌代普尔Geetanjali医学院和医院的64层体积扫描仪(SIEMENS SOMATOM定义)上出现颌面骨骨折的证据时接受了面部骨骼的CT评估。RTA占76.19%。攻击和高空坠落的比例分别为11.42%和12.38%。上颌窦壁是最常见受累骨，占71.42%，其次是鼻眶筛骨，占68.57%。颧骨骨折占50%，下颌骨骨折占38.09%。2型额骨骨折12例(31.5%)，3型10例(26.02%)，4型和1型6例(15.7%)，5型最少(10.52%)。眼眶内侧壁最常受累49例(35.76%)。Le Fort骨折线17例，其中Le Fort II型9例(52.9%)。三维图像在面部创伤评估中的优势可以描述，特别是在下颌骨和颧骨。三维图像对Le Fort断裂线的识别效果较好。冠状面重建图像在眶部和上颌骨骨折的检测上具有优势。三维图像在涉及鼻眶筛骨区的骨折以及骨折位移最小的情况下的作用有限。
{"title":"Multidetector computed tomography in evaluation of maxillofacial injuries","authors":"P. Agarwal, Deepak Ramnani, A. Tambi","doi":"10.18231/j.ijmi.2023.002","DOIUrl":"https://doi.org/10.18231/j.ijmi.2023.002","url":null,"abstract":"Facial injuries occur in significant proportion in trauma patients requiring prompt diagnosis and management. The number of maxillofacial injuries is continuously increasing due to rise in traffic, failure to take preventive measures in the traffic leads to road traffic accidents, which is the main etiological factor in maxillofacial fractures. To study role of multidetector tomography in evaluation of maxillofacial injuries. To describe the advantages of 3D reconstructed images over axial images in the imaging of facial fractures. This cross-sectional study included 100 patients who underwent CT evaluation of facial bones when they presented with evidence of fracture of maxillofacial bones on a 64-slice volume scanner (SIEMENS SOMATOM definition) in Geetanjali Medical College and Hospital, Udaipur during February 2019 to July 2020. RTA comprised of 76.19% cases. Assault and fall from height were 11.42 and 12.38%. The maxilla, the walls of its sinus were the most commonly involved bone with 71.42% next was Naso-orbito-ethmoid 68.57%. Zygomatic bone and mandible fractures were 50 and 38.09%. The type 2 frontal bone fractures were commonly seen 12 (31.5%) followed by Type 3, 10 (26.02%), Type 4 & Type 1 seen in 6 (15.7%) and Type 5 was the least common injury seen 4 (10.52%). The medial wall of the orbit was most commonly involved 49 (35.76%). Le Fort fracture lines were identified in 17 occasions with Le Fort II seen 9 (52.9%). The advantages of 3D images within the assessment of facial trauma might be described especially in mandible and cheekbone. 3D images were better within the identification of Le Fort fracture lines. The coronal reconstructed images are superior in the detection of fractures in the orbit and maxilla. 3D images have a limited role in fractures involving the naso-orbito-ethmoid region and also when there is minimal fracture displacement.","PeriodicalId":282949,"journal":{"name":"IP International Journal of Maxillofacial Imaging","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127053015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-15DOI: 10.18231/j.ijmi.2023.006
Jaspreet Kaur, Deepak Bala, A. Thakur, Sarvani Chandel, V. Goel
Gingival enlargement, the currently accepted terminology for an increase in the size of the gingiva, is a common feature of gingival disease. Local and systemic factors influence the gingival conditions of the patient. These factors results in a spectrum of diseases that can be developmental, reactive and inflammatory to neoplastic. In this case report, the history, etiology, clinical features, treatment strategies and preventive protocol of inflammatory hyperplasia are discussed.
{"title":"Inflammatory fibrous hyperplasia – A case report","authors":"Jaspreet Kaur, Deepak Bala, A. Thakur, Sarvani Chandel, V. Goel","doi":"10.18231/j.ijmi.2023.006","DOIUrl":"https://doi.org/10.18231/j.ijmi.2023.006","url":null,"abstract":"Gingival enlargement, the currently accepted terminology for an increase in the size of the gingiva, is a common feature of gingival disease. Local and systemic factors influence the gingival conditions of the patient. These factors results in a spectrum of diseases that can be developmental, reactive and inflammatory to neoplastic. In this case report, the history, etiology, clinical features, treatment strategies and preventive protocol of inflammatory hyperplasia are discussed.","PeriodicalId":282949,"journal":{"name":"IP International Journal of Maxillofacial Imaging","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125152737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-15DOI: 10.18231/j.ijmi.2023.009
Shikha Parihar, V. Goel, Deepak Bala, D. Grover
Whitish lesion present in oral mucosa may present with dysplasia in cases when there is association of smoking or smokeless tobacco habit as in tobacco abuse risk factor is increased for development of pre-malignant lesion which makes screening of oral cavity with proper diagnostic tool for definitive diagnosis very important. In this case report finding of severe dysplasia associated with a strong habit of smokeless tobacco and incisional biopsy is discussed.
{"title":"Oral epithelial dysplasia and smoker: A case report","authors":"Shikha Parihar, V. Goel, Deepak Bala, D. Grover","doi":"10.18231/j.ijmi.2023.009","DOIUrl":"https://doi.org/10.18231/j.ijmi.2023.009","url":null,"abstract":"Whitish lesion present in oral mucosa may present with dysplasia in cases when there is association of smoking or smokeless tobacco habit as in tobacco abuse risk factor is increased for development of pre-malignant lesion which makes screening of oral cavity with proper diagnostic tool for definitive diagnosis very important. In this case report finding of severe dysplasia associated with a strong habit of smokeless tobacco and incisional biopsy is discussed.","PeriodicalId":282949,"journal":{"name":"IP International Journal of Maxillofacial Imaging","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128190540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-15DOI: 10.18231/j.ijmi.2023.008
Antu Kizhakethodikayil, Manisha Tanaji Sherkhane, Bindu Pekkodath, D. Devraj, L. Thomas, N. Kumar
Langerhans cell histiocytosis (LCH) is a rare disease characterized by abnormal proliferation of bone marrow derived histiocytes followed by their deposition in tissues elsewhere in the body causing damage. Oral manifestations of LCH can sometimes be the only presenting symptoms or the first sign of a disseminated disease. Ulcerated lesions of oral mucosa are one of the common clinical manifestations and can help in early diagnosis of the disease when presented. Since the clinical features mimics several other diseases of oral and maxillofacial region it can be misdiagnosed easily as other pathologies. This article highlights the clinicopathological features of a case of LCH in an elderly patient who has reported to our outpatient department.
{"title":"Langerhans cell hystiocytosis mimicking necrotizing ulcerative periodontitis - A case report","authors":"Antu Kizhakethodikayil, Manisha Tanaji Sherkhane, Bindu Pekkodath, D. Devraj, L. Thomas, N. Kumar","doi":"10.18231/j.ijmi.2023.008","DOIUrl":"https://doi.org/10.18231/j.ijmi.2023.008","url":null,"abstract":"Langerhans cell histiocytosis (LCH) is a rare disease characterized by abnormal proliferation of bone marrow derived histiocytes followed by their deposition in tissues elsewhere in the body causing damage. Oral manifestations of LCH can sometimes be the only presenting symptoms or the first sign of a disseminated disease. Ulcerated lesions of oral mucosa are one of the common clinical manifestations and can help in early diagnosis of the disease when presented. Since the clinical features mimics several other diseases of oral and maxillofacial region it can be misdiagnosed easily as other pathologies. This article highlights the clinicopathological features of a case of LCH in an elderly patient who has reported to our outpatient department.","PeriodicalId":282949,"journal":{"name":"IP International Journal of Maxillofacial Imaging","volume":"250 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133045848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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