Aim. The present study aims at exemplifying the incidence, and aetiology and analyses the outcomes of open reduction internal fixation (ORIF) over closed treatment of mandibular ramus fractures. Patients and Method. In the present retrospective analysis of mandibular fracture patients, variables analysed were age, sex, cause of injury, pretreatment occlusion, treatment given, period of maxillo-mandibular fixation (MMF), and posttreatment occlusion. Results. Out of 388 mandibular fractures treated, ramus fractures were 12 (3.09%). In the present study, predominant cause of mandibular ramus fracture was road traffic accident (RTA) n = 07 (58.33%) followed by fall n = 04 (33.33%) and assault n = 1 (8.33%). The average age was 35.9 years with a male predilection. Of these, 9 patients were treated with ORIF while remaining 3 with closed treatment. The average MMF after closed treatment was 21 days and 3 to 5 days after ORIF. There was improvement in occlusion in all 12 patients posttreatment with no major complication except for reduced mouth opening in cases treated with ORIF which recovered with physiotherapy and muscle relaxants. Conclusion. Mandibular ramus fractures accounted for 3.09% with RTA as a common aetiology. ORIF of ramus fractures facilitated adequate functional and anatomic reduction with early return of function.
Oral cancers are one of the leading cancers in the world.However ,in India,it is one of the most common cancer and a major public health problem.The purpose of this study was to evaluate retrospectively the demographics,histopathological and clinical profile of patients with oral cancer reported at a tertiary level referral hospital in Central India.A total of 908 biopsy proven OSCC cases were retrospectively analyzed and data was collected for a period of 7 years from January 2007 to December 2013 with reference to age,sex,site involved,habits,TNM staging and final diagnosis based on histopathological findings and the results were formulated to chart the trends in central India population.Male to female ratio was 2.54 : 1. Most of the patients of OSCC were in the age group of 51-60 years (28.52%) .The most common site of presentation of primary tumor was mandibular alveolus region.Tobacco chewing along with smoking was the major cause for the development of OSCC(25.66%).Majority of the patients were presented in Stage IV (45.94%) and histopathologically well differentiated squamous cell carcinoma(54.95%) was the most common presentation.This study showed that OSCC is wide spread in the patients of this region and most of the cases report at advanced stages of the disease due to lack of awareness among the common masses.To decrease the morbidity and mortality associated with OSCC ,early detection of localized lesions combined with appropriate treatment is required.
In the wake of the current outbreak of novel Covid-19, which is now declared as a 'pandemic' by the WHO, people around the globe have been dealing with a lot of difficulties. This virus had come into light in December 2019 and since then has only grown exponentially. Amongst the most affected are the ones who have been working extremely hard to eradicate it, which includes the hospitals, dental fraternity and the health-care workers. These people are financially burdened due to limited practise. In the case of dentistry, to avoid the spread of the virus, only emergency treatments are being approved, and the rest of the standard procedures have been put on hold. In some cases, as the number of covid cases is rising, many countries are even trying to eliminate the emergency dental procedures to divert the finances towards the treatment of covid suffering patients. What we need to realise is that this is probably not the last time that we are facing such a situation. Instead of going down, we should set up guidelines with appropriate precautionary measures together with the use of standardised PPEs. The government should also establish specific policies to support dental practices and other health-care providers. Together, we can fight this pandemic and come out stronger.
IntroductionPlacement of immediate implants in contrast to delayed implant placement may be favorable. The factors contributing to this are shortened overall treatment time, aid in ideal orientation and fixture placement, bone preservation following extraction, and achieving optimal aesthetics involving soft tissue. However, the gap distance between the surface of the implant and the buccal bony wall during implant placement is critical for subsequent bone healing in a fresh extraction socket. Considering that as the gap broadens, the amount of bone-to-implant contact (BIC) decreases, causing an apical shift of the highest bone-implant contact. Incorporating a bone substitute material (BSM) within the fixture-socket gap preserves alveolar ridge volume by minimizing socket remodeling and encouraging de-novo bone formation.
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