Aim: To determine the therapeutic efficacy of Kali haldi in the management of Oral submucous Fibrosis (OSMF) v/s steroid therapy. Materials and Methods: A clinical prospective study was conducted on 42 patients of oral submucous fibrosis were equally divided into 2 groups. Group A patients were treated with a mixture of powdered Kali Haldi and aloe vera gel in equal ratio 3 times a day for 3 months. Group B patients were treated with intralesional injection of hydrocortisone and hyaluronidase for 6 weeks with oral antioxidant supplements for 3 months. Burning sensation, cheek flexibility, mouth opening, and tongue protrusion were evaluated before, during, and after treatment at an interval of 15 days, 1 month, 2, month and 3 months. Results: Statistically significant results were obtained at the end of 3 months duration for both the groups (P < 0.001). The Symptomatic correction was more evident in the case of Group A patients than Group B. Response of the ayurvedic regimen was potentially better as compared to the regular steroid therapy. Conclusion: The study concludes that Combination therapy works wonders in the case of OSMF in stages I, II, III and can be a good option, comparatively safe and with negligible side effects, but potent and equally effective management of oral submucous fibrosis. Henceforth, it will be better to do such kinds of studies on a vast scale including larger samples and longer duration to check the efficacy and durability of this ancient ayurvedic regimen.
Aims and ObjectiveThe purpose of this study was to assess the use and accuracy of the titanium micromesh for primary internal orbital reconstruction in cases of either pure or impure orbital blowout fractures. Design Retrospective case series of 21 patients with a mean follow-up of 12 months. Place Department of Dental Surgery of a teaching tertiary medical college Hospital. Material and Methods Twenty-one consecutive patients who underwent surgical reconstruction of orbital floor/or Combination of floor and rim fractures using titanium micromesh.Outcome and Evaluation Persistence of diplopia, orbital dystopia, implant extrusion, enophthalmos, infection, and complications. The recorded data included age, gender, cause of trauma, diplopia, enophthalmos, ocular motility, preoperative orbital PNS/CT, and postoperative paranasal sinus view skull preoperative and postoperative ophthalmological examination. Results Most of the patients were males and resulted from trauma inflicted during RTA, sport injuries or assault. The most Common fracture pattern was impure Blow out fractures, and commonly associated other facial fractures were midfacial fractures. Clinical examination along with diagnostic aids such as computed tomography of orbital fractures was used. Orbital floor exploration was performed in 21 cases due to functional or aesthetic deficits. All orbital floor bone defects required reconstruction. In these cases, orbital floor was reconstructed with .3 mm titanium micromesh implant. We did not encounter any major complications related to the incisions or implant material, though sample size was small. The rate of complication in which correction was difficult (diplopia) was lower [4%, 1 case]. Conclusion Titanium mesh gives excellent result in orbital floor fractures. Surgical anatomical landmarks knowledge is very important to prevent any intra-or postoperative complications.
Background: The aim of the study is to evaluate the morphological alterations of the mandiblebetween different age groups, gender, and dentition status. Materials and Methods: A total of 1000 patients (500 males and 500 females), panoramic radiographs, were included in the study out of 57,640 patients in the outpatient department for 1 year. The patients were categorized according to age, gender, and dentition status that were assessed. Results: Statistically significant relation was observed between the mean antegonial angle, depth, gonial angle, and mandibular cortical index (MCI) with respect to the age, gender, and dentition status. The value of antegonial angle decreased with age and edentulousness, while antegonial depth increased with age and edentulousness. Females had higher values of antegonial angles as compared to males for antegonial angle, while the opposite is true for antegonial depth. Conclusion: There is an inherent asymmetry in the antegonial regions between the right and left sides. The gonial angle can serve as an adjuvant and additional forensic parameter, which guides for age group assessment and gender identification. MCI can be used as a diagnostic tool for screening patients with or without osteoporotic changes.
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