Pub Date : 2022-05-20DOI: 10.37191/mapsci-2582-3736-4(2)-124
H. Achmad
Background: Caries Several pathogenic microorganisms cause this infectious disease in the oral cavity. These pathogenic microorganisms can be inhibited by using drugs and natural materials all around us. One of the natural ingredients that we can use to treat infections in children's teeth is anchovy extract (Stolephorussp) which we often encounter in Indonesian marine waters. Stolephorussp contains a lot of high fluoride and calcium. The fluoride content is 15.7-38.33ppm, especially in CaF2 compounds. Aim: Providing information about the effectiveness of anchovy extract (Stolephorussp), on the condition of the oral cavity of children, the author wants to compare the level of effectiveness of a natural ingredient stolephorussp an antibacterial agent in the oral cavity of children. Mini-Review: The Fluoride in bacteria works as bacteriostatic to prevent cell proliferation by inhibiting nucleic acid synthesis, which is vital for cell development. Anchovy contains fluoride, protein, calcium, and minerals Literature review was carried out until December 2021 using PubMed, and Google Scholar. In writing this SR, it is hoped that Stolephorusinsularis is an antibacterial alternative to treat infections in children's teeth. Conclusion: The use of natural ingredients for anchovies (Stolephorusinsularis) is expected to provide benefits to children's teeth, especially overcoming their dental infections.
{"title":"The Effectiveness of Anchovy as Antibacterial Agent for Children Oral Health","authors":"H. Achmad","doi":"10.37191/mapsci-2582-3736-4(2)-124","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-4(2)-124","url":null,"abstract":"Background: Caries Several pathogenic microorganisms cause this infectious disease in the oral cavity. These pathogenic microorganisms can be inhibited by using drugs and natural materials all around us. One of the natural ingredients that we can use to treat infections in children's teeth is anchovy extract (Stolephorussp) which we often encounter in Indonesian marine waters. Stolephorussp contains a lot of high fluoride and calcium. The fluoride content is 15.7-38.33ppm, especially in CaF2 compounds.\u0000\u0000Aim: Providing information about the effectiveness of anchovy extract (Stolephorussp), on the condition of the oral cavity of children, the author wants to compare the level of effectiveness of a natural ingredient stolephorussp an antibacterial agent in the oral cavity of children.\u0000\u0000Mini-Review: The Fluoride in bacteria works as bacteriostatic to prevent cell proliferation by inhibiting nucleic acid synthesis, which is vital for cell development. Anchovy contains fluoride, protein, calcium, and minerals Literature review was carried out until December 2021 using PubMed, and Google Scholar. In writing this SR, it is hoped that Stolephorusinsularis is an antibacterial alternative to treat infections in children's teeth.\u0000\u0000Conclusion: The use of natural ingredients for anchovies (Stolephorusinsularis) is expected to provide benefits to children's teeth, especially overcoming their dental infections.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44636520","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 : 2022-03-14DOI: 10.37191/mapsci-2582-3736-4(2)-123
Ali Ali Al-zamzami
Objective: The aims of this study were to determine the common causes of jawbone swellings, common affected sites, the relationship of these causes to the age, gender of the patients and compare the findings of this study with many previous studies from various countries. Material and methods: The study design as a prospective descriptive hospital-based study, carried out at Al-gomhori teaching hospital in Sana'a Republic of Yemen. Material consists of 125 patients who attending to the department of oral and maxillofacial surgery and to the consultant unit of head and neck oncologic surgery and diagnosed clinically, radiographically as having jawbone swellings. Histopathological results of biopsy were used to confirm the diagnosis. Data; were collected from clinical examination of the patients (interview, inspection and palpation of the suspected swelling), patient history(using questionnaire sheet), radiographs and histopathological examinations. They entered the computer and analysis using statistical package for social science (SPSS) version 24. Results; were presented as simple frequencies and descriptive statistics. Chi-square test used to assess the association and the level of significance among categorical variables. P-value less than 0.05 were considered to be statistically significant. Results: Sixty eight of 125 patients(54.4%) were males and 57 (45.6%) were females, giving a male to female ratio of 1.2:1. Patients age ranged from 3 to 80 years with a mean age of 28.8 years ± 17.9 years. The majority of patients (80.0%) were in their 1st to 4th decades of life, with a peak incidence(40.8%) was found in the third and fourth decades of life. The most common causes of jawbone swellings were, jaw cysts, benign tumors (odontogenic and non-odontogenic tumor/tumor like-lesions) and malignant tumors, accounting 40.0%, 39.2% and 20.8% respectively. Conclusion: Jawbone swellings were observed more commonly in male patients, with a male to female ratio of 1.2:1 They may be found on any age of patients, with average age of 28.8 years (age range from 3-80 years). Jaw cysts were the most common causes of jaw bones wellings, following by benign tumors (odontogenic and nonodontogenic tumor/ or tumor lick-lesion) and malignant tumors which accounting 40.8%,39.2% and 20.8%.
{"title":"Common Causes Of Jaw Bones Swelling Among Yemenis (A Prospective Descriptive Hospital Based- Study)","authors":"Ali Ali Al-zamzami","doi":"10.37191/mapsci-2582-3736-4(2)-123","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-4(2)-123","url":null,"abstract":"Objective: The aims of this study were to determine the common causes of jawbone swellings, common affected sites, the relationship of these causes to the age, gender of the patients and compare the findings of this study with many previous studies from various countries.\u0000\u0000Material and methods: The study design as a prospective descriptive hospital-based study, carried out at Al-gomhori teaching hospital in Sana'a Republic of Yemen. Material consists of 125 patients who attending to the department of oral and maxillofacial surgery and to the consultant unit of head and neck oncologic surgery and diagnosed clinically, radiographically as having jawbone swellings. Histopathological results of biopsy were used to confirm the diagnosis. Data; were collected from clinical examination of the patients (interview, inspection and palpation of the suspected swelling), patient history(using questionnaire sheet), radiographs and histopathological examinations. They entered the computer and analysis using statistical package for social science (SPSS) version 24. Results; were presented as simple frequencies and descriptive statistics. Chi-square test used to assess the association and the level of significance among categorical variables. P-value less than 0.05 were considered to be statistically significant.\u0000\u0000Results: Sixty eight of 125 patients(54.4%) were males and 57 (45.6%) were females, giving a male to female ratio of 1.2:1. Patients age ranged from 3 to 80 years with a mean age of 28.8 years ± 17.9 years. The majority of patients (80.0%) were in their 1st to 4th decades of life, with a peak incidence(40.8%) was found in the third and fourth decades of life. The most common causes of jawbone swellings were, jaw cysts, benign tumors (odontogenic and non-odontogenic tumor/tumor like-lesions) and malignant tumors, accounting 40.0%, 39.2% and 20.8% respectively. Conclusion: Jawbone swellings were observed more commonly in male patients, with a male to female ratio of 1.2:1 They may be found on any age of patients, with average age of 28.8 years (age range from 3-80 years). Jaw cysts were the most common causes of jaw bones wellings, following by benign tumors (odontogenic and nonodontogenic tumor/ or tumor lick-lesion) and malignant tumors which accounting 40.8%,39.2% and 20.8%.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47093229","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 : 2022-03-01DOI: 10.37191/mapsci-2582-3736-4(1)-121
Abdurrahman A AlSamman
Background: Implant primary stability is considered a prerequisite of implant osseointegration and ultimately, implant success. The prognosis of dental implants installed with low or without primary stability is still unclear. The aim of this systematic review was to assess the survival rate of implants placed with low/without primary stability and to diagnose risk factors that might affect outcomes of such implants. Material and methods: Electronic search in the National Library of Medicine (MEDLINE-PubMed) was performed on articles published in English up to September 2020. The terms (MeSH words) used in the search were ‘Dental’ OR ‘Oral’ AND ‘Implant’ AND ‘Survival’ OR ‘Success’ AND ‘Stability’ OR ‘Low stability’ AND ‘Insertion torque’. In addition to the online databases of selected journals. Randomized and controlled clinical trials, cohort studies, case-control studies, and prospective or retrospective case series were included. Results: Of the retrieved 386 publications, 24 studies met the inclusion criteria, with a total of 1632 implants, giving a survival rate of 96.32%. No statistically significant influence of the type and site of implantation on implant survival was recorded. A significant higher failure rate of immediately loaded implants that than those with delayed loading protocols. Conclusion: Poor primary stability might not negatively affect the survival rates of non-immediately loaded dental implants.
{"title":"Does Primary Stability Is Mandatory For Dental Implant Success? A Systematic Review Of Literature","authors":"Abdurrahman A AlSamman","doi":"10.37191/mapsci-2582-3736-4(1)-121","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-4(1)-121","url":null,"abstract":"Background: Implant primary stability is considered a prerequisite of implant osseointegration and ultimately, implant success. The prognosis of dental implants installed with low or without primary stability is still unclear. The aim of this systematic review was to assess the survival rate of implants placed with low/without primary stability and to diagnose risk factors that might affect outcomes of such implants.\u0000\u0000Material and methods: Electronic search in the National Library of Medicine (MEDLINE-PubMed) was performed on articles published in English up to September 2020. The terms (MeSH words) used in the search were ‘Dental’ OR ‘Oral’ AND ‘Implant’ AND ‘Survival’ OR ‘Success’ AND ‘Stability’ OR ‘Low stability’ AND ‘Insertion torque’. In addition to the online databases of selected journals. Randomized and controlled clinical trials, cohort studies, case-control studies, and prospective or retrospective case series were included.\u0000\u0000Results: Of the retrieved 386 publications, 24 studies met the inclusion criteria, with a total of 1632 implants, giving a survival rate of 96.32%. No statistically significant influence of the type and site of implantation on implant survival was recorded. A significant higher failure rate of immediately loaded implants that than those with delayed loading protocols.\u0000\u0000Conclusion: Poor primary stability might not negatively affect the survival rates of non-immediately loaded dental implants.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43043862","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 : 2022-02-01DOI: 10.37191/mapsci-2582-3736-4(1)-120
C. Ogunsalu
Various oral surgical procedures are currently performed under local anaesthesia and conscious sedation as a day surgery procedure. Both oral and intravenous conscious sedation are available as a choice. Oral sedation with Alprazolam and Codeine is very effective for most oral surgical procedures especially the removal of impacted third molars and surgical placement of implants. It is this sedation regimen that comprises the synergistic use of both aprazolam and codeine to effect sedation with amnesia that is the standard procedure at the Faculty of Dentistry of the International Postgraduate Medical College. The purpose of this case report is to appraise the possible negative effect of Alprazolam and Codeine sedation mentioned above on a patient who presented with polycythaemia rubra vera (a very rare haematological condition). This is because the codeine component of this combination will depress the respiratory centre in the medulla oblongata putting the patient at risk. The case study is that of a 70-Year-old male patient who had been a regular patient for approximately 10 years ago at the Faculty of Dentistry, International Postgraduate Medical College (IPMC), where a total upper denture and a partial lower denture were placed. The patient returned in 2019 with the chief complaint of halitosis and pain in the mandibular posterior right region. The patient gave past medical history of PRV, epilepsy and hypertension and history of being on multiple medications for these conditions. The treatment plan advised was total extraction of the remaining mandibular dentition and excisional biopsy of the suspicious lesion mesial to the mandibular right first molar, together with a complete lower denture replacement. The procedure was done without sedation and at no time was the patient considered to be in danger as it relates to oxygen saturation, carbon dioxide drive to the brain and bleeding. Every hematologist managing patients with PRV will be very concerned as to how these patients are managed by dentists, particularly as it relates to oxygen saturation, carbon dioxide drive to the brain and hemostasis. Similarly, most dental practitioners that are managing such patients may not be familiar with the technicalities surrounding the clinical and operative management of these patients. It is for this reason that this case report focusing on oral surgical management of a patient with PRV is of significance to the dental literature, particularly as it aims to develop a working group for the development of the protocol for the management of PRV.
{"title":"The Physiological Basis Of The Oral Surgical Management Of A Patient With Polycythemia Rubra Vera: A Pathway For The Development Of A Protocol","authors":"C. Ogunsalu","doi":"10.37191/mapsci-2582-3736-4(1)-120","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-4(1)-120","url":null,"abstract":"Various oral surgical procedures are currently performed under local anaesthesia and conscious sedation as a day surgery procedure. Both oral and intravenous conscious sedation are available as a choice. Oral sedation with Alprazolam and Codeine is very effective for most oral surgical procedures especially the removal of impacted third molars and surgical placement of implants. It is this sedation regimen that comprises the synergistic use of both aprazolam and codeine to effect sedation with amnesia that is the standard procedure at the Faculty of Dentistry of the International Postgraduate Medical College. The purpose of this case report is to appraise the possible negative effect of Alprazolam and Codeine sedation mentioned above on a patient who presented with polycythaemia rubra vera (a very rare haematological condition). This is because the codeine component of this combination will depress the respiratory centre in the medulla oblongata putting the patient at risk.\u0000\u0000The case study is that of a 70-Year-old male patient who had been a regular patient for approximately 10 years ago at the Faculty of Dentistry, International Postgraduate Medical College (IPMC), where a total upper denture and a partial lower denture were placed. The patient returned in 2019 with the chief complaint of halitosis and pain in the mandibular posterior right region. The patient gave past medical history of PRV, epilepsy and hypertension and history of being on multiple medications for these conditions. The treatment plan advised was total extraction of the remaining mandibular dentition and excisional biopsy of the suspicious lesion mesial to the mandibular right first molar, together with a complete lower denture replacement. The procedure was done without sedation and at no time was the patient considered to be in danger as it relates to oxygen saturation, carbon dioxide drive to the brain and bleeding.\u0000\u0000Every hematologist managing patients with PRV will be very concerned as to how these patients are managed by dentists, particularly as it relates to oxygen saturation, carbon dioxide drive to the brain and hemostasis. Similarly, most dental practitioners that are managing such patients may not be familiar with the technicalities surrounding the clinical and operative management of these patients. It is for this reason that this case report focusing on oral surgical management of a patient with PRV is of significance to the dental literature, particularly as it aims to develop a working group for the development of the protocol for the management of PRV.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44281011","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 : 2022-02-01DOI: 10.37191/mapsci-2582-3736-4(1)-118
X. Riaud
Franklin Roosevelt was the 32nd president of the United States of America, a position he held from 1933 to 1945. He is the only American president to have been elected four times. However, he died just months into his fourth term due to health complications.
{"title":"Clay-toothed Giants (Part 2)","authors":"X. Riaud","doi":"10.37191/mapsci-2582-3736-4(1)-118","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-4(1)-118","url":null,"abstract":"Franklin Roosevelt was the 32nd president of the United States of America, a position he held from 1933 to 1945. He is the only American president to have been elected four times. However, he died just months into his fourth term due to health complications.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42027608","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 : 2022-02-01DOI: 10.37191/mapsci-2582-3736-4(1)-117
Aushili Mahule
Aim: To identify the contemporary radiographic prescription practices among the dental implant practitioners in India. Materials and method: Two clinicians interviewed four hundred dentists using a 13-question questionnaire for commonly prescribed imaging modality options for implant treatment planning and assessment. The parameters included commonly available imaging techniques, exposure of radiation to the patient, coverage area of teeth and surrounding facial bones, ease of availability and the cost effectiveness. The interview was conducted by two operators to eliminate subject bias. CbctThe data collected was analyzed using Statistical Package for the Social Science (SPSS version 22, Armonk, NY: IBM Corp). Results: Cone beam computed tomography (CBCT) was found to be the most prescribed imaging modality prescribed by 44.2% of the dentists followed by orthopantograph (OPG) (17.9%). A combination of imaging modalities was preferred by 21.9% of dentists. The intraoral periapical radiographs (IOPA) were prescribed by 12.3% while conventional tomography was prescribed by 2.5% of the dentists. Precision of the imaging modality (51.2) reduced exposure to radiation (19.8) and ease of availability (13%) were the reasons for selection of radiograph prescription. Conclusion: According to the study, cone beam computerized tomography (CBCT) appeared as the most prescribed imaging modality followed by OPG. Precise measurements were cited as the main reason for selecting a radiographic technique followed by the less exposure of the patient to radiation and easy availability of the modality.
{"title":"Radiographic Prescription Practices Among Implant Practitioners In India: A Cross-sectional Survey","authors":"Aushili Mahule","doi":"10.37191/mapsci-2582-3736-4(1)-117","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-4(1)-117","url":null,"abstract":"Aim: To identify the contemporary radiographic prescription practices among the dental implant practitioners in India.\u0000\u0000Materials and method: Two clinicians interviewed four hundred dentists using a 13-question questionnaire for commonly prescribed imaging modality options for implant treatment planning and assessment. The parameters included commonly available imaging techniques, exposure of radiation to the patient, coverage area of teeth and surrounding facial bones, ease of availability and the cost effectiveness. The interview was conducted by two operators to eliminate subject bias. CbctThe data collected was analyzed using Statistical Package for the Social Science (SPSS version 22, Armonk, NY: IBM Corp).\u0000\u0000Results: Cone beam computed tomography (CBCT) was found to be the most prescribed imaging modality prescribed by 44.2% of the dentists followed by orthopantograph (OPG) (17.9%). A combination of imaging modalities was preferred by 21.9% of dentists. The intraoral periapical radiographs (IOPA) were prescribed by 12.3% while conventional tomography was prescribed by 2.5% of the dentists. Precision of the imaging modality (51.2) reduced exposure to radiation (19.8) and ease of availability (13%) were the reasons for selection of radiograph prescription.\u0000\u0000Conclusion: According to the study, cone beam computerized tomography (CBCT) appeared as the most prescribed imaging modality followed by OPG. Precise measurements were cited as the main reason for selecting a radiographic technique followed by the less exposure of the patient to radiation and easy availability of the modality.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43805986","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 : 2022-02-01DOI: 10.37191/mapsci-2582-3736-4(1)-119
S. Mukul
Accidental displacement of wisdom tooth and its elements are one of the uncommon complications. The common facial spaces involved during the displacement of lower wisdom teeth are Sub mandibular, Sublingual and Pterygomandibular spaces. Such complications have adverse physical and psychological impact over the patients. The management can vary from conservative observation to surgical retrieval; depending on the presenting clinical conditions, location and the relationship of the displaced elements with respect to the anatomic structures. Retrieval of a displaced root tip from these spaces may be complex due to poor visualization, limited access and under limited experience. This is a case report with a review on approaches for surgical retrieval, of a young male patient aged 28 years, who presented with a displaced mandibular third molar root into the Submandibular space during unsuccessful surgical removal by a general practitioner 2 weeks earlier. The presenting complaints were Limited mouth opening and pain during chewing on the right lower jaw. The case was managed surgically through extra oral approach under local anesthesia and MAC.
{"title":"Iatrogenically Displaced Lower Wisdom Tooth Into Submandibular Space: A Case Report And Review On Retrieval Approaches","authors":"S. Mukul","doi":"10.37191/mapsci-2582-3736-4(1)-119","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-4(1)-119","url":null,"abstract":"Accidental displacement of wisdom tooth and its elements are one of the uncommon complications. The common facial spaces involved during the displacement of lower wisdom teeth are Sub mandibular, Sublingual and Pterygomandibular spaces. Such complications have adverse physical and psychological impact over the patients. The management can vary from conservative observation to surgical retrieval; depending on the presenting clinical conditions, location and the relationship of the displaced elements with respect to the anatomic structures. Retrieval of a displaced root tip from these spaces may be complex due to poor visualization, limited access and under limited experience. This is a case report with a review on approaches for surgical retrieval, of a young male patient aged 28 years, who presented with a displaced mandibular third molar root into the Submandibular space during unsuccessful surgical removal by a general practitioner 2 weeks earlier. The presenting complaints were Limited mouth opening and pain during chewing on the right lower jaw. The case was managed surgically through extra oral approach under local anesthesia and MAC.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47005744","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 : 2022-01-31DOI: 10.37191/mapsci-2582-3736-4(1)-116
A. Kamat
Foreign bodies are rare entities in the Oral and Maxillofacial region. The etiology is either traumatic, iatrogenic or due to inadvertent placement. Some foreign bodies show an immediate inflammatory reaction, infected granuloma formation, pus discharge, sinus tract formation etc. However, some remain asymptomatic for a long time and shows a delayed reaction. Diagnosis and management of the foreign body depends on multiple factors like clinical sign and symptoms, size and composition of foreign body, anatomic relation to different vital structures etc. This paper aims to present a rare case of a toy gun pellet located in upper left alveolus giving a delayed inflammatory reaction after 38 years.
{"title":"Long Standing Intra-oral Foreign Body: A Rare Case Report","authors":"A. Kamat","doi":"10.37191/mapsci-2582-3736-4(1)-116","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-4(1)-116","url":null,"abstract":"Foreign bodies are rare entities in the Oral and Maxillofacial region. The etiology is either traumatic, iatrogenic or due to inadvertent placement. Some foreign bodies show an immediate inflammatory reaction, infected granuloma formation, pus discharge, sinus tract formation etc. However, some remain asymptomatic for a long time and shows a delayed reaction. Diagnosis and management of the foreign body depends on multiple factors like clinical sign and symptoms, size and composition of foreign body, anatomic relation to different vital structures etc. This paper aims to present a rare case of a toy gun pellet located in upper left alveolus giving a delayed inflammatory reaction after 38 years.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48002099","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 : 2022-01-01DOI: 10.37191/mapsci-2582-3736-4(1)-115
Shereen Khan
Background, Aim, and Objectives: Orbital floor blow out fractures are uncommon in children but can present with a dilemma in the Emergency department upon presentation. We collected case reports of 17 cases over a three-year period. The patients were selected from the age group six to 13 years of age with history of trivial blunt orbital trauma. The main complaint was mild pain in the eye upon presentation. Five patients were having clinical presentation of oculo-cardiac reflex. The suspected patients underwent Cone Beam CT of the midface with multiplanar cone beam reconstruction which confirmed the diagnosis of orbital floor fractures with trap door defect or minimal displacement and in a few cases inferior rectus entrapment. Orbital floor trapdoor fractures have oblivious features upon presentation and can easily be overlooked if not evaluated managed by expert healthcare providers which can lead to significant morbidity and even mortality in patients with oculocardiac reflex. Cone Beam CT of mid face with multiplanar reconstruction is the standard of care in the diagnosis and management of white eyed blow out orbital floor fractures in the provision of evidenced based healthcare practice. Methodology: This is a retrospective cohort study to evaluate the results of pediatric age group with trapdoor and blow out orbital floor fractures who underwent CBCT for the diagnosis and further management. Seventeen cases were selected who were in the age group between 6 to 13 years.12 cases underwent surgery for orbital floor exploration and nine were having inferior rectus muscle entrapment which was released. Five patients were managed non surgically. Result: One patient disappeared in this group during one-year post-operative follow up. No residual defect was found in the remaining sixteen patients. Cone beam Computer tomography with multiplanar reconstruction should be the standard of care for the diagnosis and treatment of blow out and trapdoor orbital fractures. Strength and limitations: Although this study is of a limited number of pediatric patients, but it highlights the significance of CBCT in the management of trapdoor and blow out orbital floor fractures in children. Further studies are needed to elaborate the utilization of CBCT in the treatment of orbital floor and medial orbital wall fractures. Conclusion: Our study suggests that CBCT has a higher value of specificity and less radiation exposure in the diagnosis of orbital fractures in pediatric age group when there is isolated orbital or mid face trauma, and CT brain is not recommended. Cone Beam CT with multiplanar reconstruction is considered the standard of care in the diagnosis of white eyed blow out orbital floor fractures in the provision of evidenced based healthcare practice. Perioperative CBCT and navigation should be universalized to achieve the best outcome.
{"title":"Role Of Cbct In The Treatment Of Orbital Floor Blow Out Fractures In Children","authors":"Shereen Khan","doi":"10.37191/mapsci-2582-3736-4(1)-115","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-4(1)-115","url":null,"abstract":"Background, Aim, and Objectives: Orbital floor blow out fractures are uncommon in children but can present with a dilemma in the Emergency department upon presentation. We collected case reports of 17 cases over a three-year period. The patients were selected from the age group six to 13 years of age with history of trivial blunt orbital trauma. The main complaint was mild pain in the eye upon presentation. Five patients were having clinical presentation of oculo-cardiac reflex. The suspected patients underwent Cone Beam CT of the midface with multiplanar cone beam reconstruction which confirmed the diagnosis of orbital floor fractures with trap door defect or minimal displacement and in a few cases inferior rectus entrapment. Orbital floor trapdoor fractures have oblivious features upon presentation and can easily be overlooked if not evaluated managed by expert healthcare providers which can lead to significant morbidity and even mortality in patients with oculocardiac reflex. Cone Beam CT of mid face with multiplanar reconstruction is the standard of care in the diagnosis and management of white eyed blow out orbital floor fractures in the provision of evidenced based healthcare practice.\u0000\u0000Methodology: This is a retrospective cohort study to evaluate the results of pediatric age group with trapdoor and blow out orbital floor fractures who underwent CBCT for the diagnosis and further management. Seventeen cases were selected who were in the age group between 6 to 13 years.12 cases underwent surgery for orbital floor exploration and nine were having inferior rectus muscle entrapment which was released. Five patients were managed non surgically.\u0000\u0000Result: One patient disappeared in this group during one-year post-operative follow up. No residual defect was found in the remaining sixteen patients. Cone beam Computer tomography with multiplanar reconstruction should be the standard of care for the diagnosis and treatment of blow out and trapdoor orbital fractures.\u0000\u0000Strength and limitations: Although this study is of a limited number of pediatric patients, but it highlights the significance of CBCT in the management of trapdoor and blow out orbital floor fractures in children. Further studies are needed to elaborate the utilization of CBCT in the treatment of orbital floor and medial orbital wall fractures.\u0000\u0000Conclusion: Our study suggests that CBCT has a higher value of specificity and less radiation exposure in the diagnosis of orbital fractures in pediatric age group when there is isolated orbital or mid face trauma, and CT brain is not recommended. Cone Beam CT with multiplanar reconstruction is considered the standard of care in the diagnosis of white eyed blow out orbital floor fractures in the provision of evidenced based healthcare practice. Perioperative CBCT and navigation should be universalized to achieve the best outcome.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42840250","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 : 2022-01-01DOI: 10.37191/mapsci-2582-3736-4(1)-111
C. Ogunsalu
Purpose: The objective of our study was to describe the effective use of menthol crystal vapor inhalation in the oxygenation of a hypoxic patient. The study also aims to affirm the possible role of this oxygenation effect of menthol crystal vapor in the management of hypoxia in early diagnosed COVID-19 patients. Patients and Methods: This Study (the immediate oxygenation effect of menthol study), involved intra-operative oxygenation of a sedated, none COVID-19 patient undergoing surgical removal of a tooth together with a series of seven COVID-19 positive patients. The oxygen saturation of this single surgical patient which dropped to dangerous levels during the short surgery was elevated five (5) consecutive instances to a level above the pre-operative baseline following the inhalation of menthol crystal vapor. The series of seven patients with COVID-19 were administered with menthol via the menthol crystal Inhalation regimen and the improvement in their low oxygen saturation was monitored and documented. Results: The only case in this study had its oxygen saturation increased repeatedly intraoperatively for 5 consecutive instances when it fell to a dangerous level of 84%. This single study together with the study of menthol crystal increasing the oxygen saturation of mildly hypoxic early diagnosed COVID-19 patients in an earlier study now calls for a modification of the current treatment modality for both in-Hospital and outpatient COVID-19 Cases. Conclusion: The periodic inhalation of menthol crystal vapor intraoperatively and the utilization of the vapor in the menthol crystal inhalation regimen (MCIR) has been found to effectively manage hypoxia but it is also therapeutic for COVID-19 patients.
{"title":"Menthol Crystal Vapor Inhalation In The Management Of Hypoxia During Dental Sedation: An Evidence For The Management Of The Silent Hypoxia Of Covid-19","authors":"C. Ogunsalu","doi":"10.37191/mapsci-2582-3736-4(1)-111","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-4(1)-111","url":null,"abstract":"Purpose: The objective of our study was to describe the effective use of menthol crystal vapor inhalation in the oxygenation of a hypoxic patient. The study also aims to affirm the possible role of this oxygenation effect of menthol crystal vapor in the management of hypoxia in early diagnosed COVID-19 patients.\u0000\u0000Patients and Methods: This Study (the immediate oxygenation effect of menthol study), involved intra-operative oxygenation of a sedated, none COVID-19 patient undergoing surgical removal of a tooth together with a series of seven COVID-19 positive patients. The oxygen saturation of this single surgical patient which dropped to dangerous levels during the short surgery was elevated five (5) consecutive instances to a level above the pre-operative baseline following the inhalation of menthol crystal vapor. The series of seven patients with COVID-19 were administered with menthol via the menthol crystal Inhalation regimen and the improvement in their low oxygen saturation was monitored and documented.\u0000\u0000Results: The only case in this study had its oxygen saturation increased repeatedly intraoperatively for 5 consecutive instances when it fell to a dangerous level of 84%. This single study together with the study of menthol crystal increasing the oxygen saturation of mildly hypoxic early diagnosed COVID-19 patients in an earlier study now calls for a modification of the current treatment modality for both in-Hospital and outpatient COVID-19 Cases.\u0000\u0000Conclusion: The periodic inhalation of menthol crystal vapor intraoperatively and the utilization of the vapor in the menthol crystal inhalation regimen (MCIR) has been found to effectively manage hypoxia but it is also therapeutic for COVID-19 patients.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45974768","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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