Even though variety of foreign bodies has been reported in a various locations in the craniofacial region, wooden foreign bodies are uncommon. Appropriate management of wooden foreign bodies is considered essential because of their infectious complications and difficulty in radiographic localization. Even though literature is replete with articles on management of foreign bodies in the craniofacial region, specific management of wooden foreign bodies are rarely reported. The purpose of this article is to report two cases of deeply placed wooden foreign body and a protocol for managing them in the maxillofacial region.
Adenomatoid odontogenic tumor (AOT) is a rare odontogenic tumor often misdiagnosed as odontogenic cyst. AOT is predominantly found in female patients, which usually arise in the second or third decade and is located more often in the maxilla than mandible and often associated with an unerupted permanent tooth. However, AOT frequently resembles other odontogenic lesions such as dentigerous cysts or ameloblastoma. Treatment is conservative and the prognosis is excellent. For illustration a rare case of an AOT in the mandible which is associated with an unerupted permanent canine is presented.
Aim: To evaluate a new flap design that is a modification of an envelope flap in reducing the postoperative complications and to compare it with the conventional flaps such as a bayonet flap and an envelope flap for the surgical removal of impacted mandibular third molars. Materials and methods: A prospective randomized control clinical study was conducted on 90 medically healthy patients who came with impacted mandibular third molars. The patients were randomly divided into group I, group II, and group III of 30 patients each. All three group patients underwent surgical removal of impacted mandibular third molars wherein for group I patients, a bayonet flap was raised, for group II a modified envelope flap (new flap design), and for group III an envelope flap was raised. Postoperative pain and swelling at day 1, 3, and 7 were assessed and compared. Data were analyzed with ANOVA, using SPSS software version 20. Results: The group II proved more successful in reducing the postsurgical sequelae of impacted third molar removal. Postoperative analysis showed increased amount of pain and swelling in groups I and III as compared to group II.
Conclusion:The new design flap that is a modification of an envelope flap is more superior to other two conventional techniques. Clinical significance: The new flap design is useful in reducing postoperative pain and swelling, which is the most common sequel of surgical removal of the impacted third molar and is easy to practice.
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