To determine the prevalence of temporomandibular disorders (TMD) in patients wearing complete denture (CD). Material and Methods: This study was carried out SGRD Institute of Dental Sciences & Research, Amritsar, India. 100 completely edentulous patients in the age group of 22-74 years who did not complain of any TMD and were denture bearers with a varied denture wearing span, were examined for the existence of TMD signs and symptoms were included in the study. Results: Out of total 100 subjects examined, majority of the patients that is 28% fell in the age group of 50-60 years, followed by 40-50 years 22%. There was no statistically significant association between different genders and age. The distribution of patients with or without TMD, 61.67% males out of the total male subjects and 65% females out of total female subjects showed the presence of signs. The difference was found to be statistically insignificant. 42% of the subjects had 1-3 years of edentulous span followed by 32% with more than 5 years of edentulous span and 26% of the subjects showed 3-5 years of edentulous span. 34 % of the subjects showed limited mouth opening as a sign of TMD followed by jaw deviation which is shown by 27(27%) of the subjects. Conclusion:The most common finding was limited mouth opening while crepitus and clicking were least encountered.
Management of rare case of pregnancy associated with Ludwig Angina. Material and Method: An unbooked primigravida with 34 weeks of gestation presented in emergency with c/o swelling over neck since 5 days, with pain in left lower quadrant tooth since 10 days is being discussed in this case report. A detailed history regarding pregnancy & complaints was taken and diagnosed as Ludwig's angina. Antenatal care was given along with dental care & antibiotic coverage. Considering the chances of preterm delivery antenatal steroids were given. Patient managed with multidisciplinary approach Results: Tracheostomy was done along with incision and drainage, followed by emergency Cesarean section two days post-tracheostomy for both maternal and fetal benefit. Conclusion: Pregnancy with Ludwig's angina is a rare, life threatening condition requiring early aggressive therapy with antibiotics, incision and drainage and protection of the airway. Periodontal infection like this may lead to preterm delivery. Good hygiene along with periodontal assessment should be a one of the component of obstetric care.
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