Paediatric craniomaxillofacial (CMF) surgery requires a multidisciplinary team approach to ensure the optimal and holistic management of children with craniofacial deformities. The aim of this retrospective study was to analyse the complications following functional interventions among 34 CMF deformity patients in a single multidisciplinary craniofacial centre. Electronic data including patient demographic characteristics and clinical entry were analysed. Inclusion criteria were all paediatric patients with CMF deformities who underwent various functional interventions. A total of 64 interventions (48 intermediate and 16 definitive) were conducted. Based on the Sharma classification of complications , 20.3% were type I, 4.7% were type II, 1.6% were type III, and 4.7% were type IV. Most complications were type I, which included local infection (3.1%) and premature opening of tarsorrhaphy (3.1%). More serious complications (types III and IV) included temporary visual loss (1.6%) and intraoperative haemorrhage (1.6%). Although a low complication rate was observed in intermediate interventions, a higher complication rate was observed in more complex definitive interventions such as monobloc distraction osteogenesis. Although most complications were manageable, effective prevention remains mandatory, as serious complications may lead to permanent damage and mortality. This analysis highlights the importance of a multidisciplinary team approach to optimize the outcomes in CMF patient management.
Introduction: Successful endodontic treatment requires the clinician to be able to locate, disinfect, and obturate all canals presence in the root canal system to remove the infection and prevent re-infection. However, some canals, such as secondary mesiobuccal (MB) root canal often missed upon examination and the treatment. The success of locating these canals is determined by the methods used, a periapical radiograph and Cone Beam Computed Tomography (CBCT). The purpose of this study was to examine the sensitivity and accuracy of the periapical radiograph (PA) and CBCT on determining the presence of the secondary MB root canal. Methods: As much as 40 intact crown and intact radicular of the maxillary first molars, without root caries, root restoration, and endodontic treated, were taken as the samples. The presence of a secondary MB root canal was evaluated by a PA radiograph, CBCT, and clinical sectioning. Samples were undergone each test and sectioned after being completed the radiographic evaluation steps. Results: CBCT radiograph was successfully identifying 62.5% secondary MB root canal presence, whilst the PA radiograph has detected only 20% of the samples. The sensitivity of CBCT and PA radiograph was compared with the gold standard method, resulting 86.2 and 27.6% respectively. The statistical analysis showed that there was no significant difference between CBCT test and the gold standard (p=0.00). Conclusion: CBCT was proven to be a reliable method to detect the presence of secondary MB root canals due to its accuracy as high as the clinical sectioning compared to the PA radiograph.
Minor oral surgery (MOS) is one of the important requirements for dental undergraduates to perform in Kulliyyah of Dentistry, IIUM. However, no assessment has been done on the suitability of the cases received by the students. Thus, this study was aimed to describe type of cases and level of difficulty in relation to undergraduate year of study. This study consisted of 97 subjects who had undergone MOS by IIUM undergraduate from September 2014 to October 2015. Data was collected from patient’s documentation and orthopantomogram. Pederson index and relationship to inferior dental nerve were used to determine the difficulty index level. Statistical analysis was done using Chi-square test with statistical significance set at p? 0.05. The mean age of the patients was 24 years old, with male to female ratio 1:1.9. 52.6% of the cases were indicated for surgery due to recurrent pericoronitis. The types of cases mostly received by undergraduates were Class IA (30.9%) and Class IIA (48.5%) with mesioangular impaction (39.2%). Year 4 students received more difficult cases compared to Year 5 (p = 0.504) with less complications postoperatively. Dental undergraduates received simple to moderate cases for MOS, and no significant association was found between year of undergraduate study and difficulty level of the cases.
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