Background:Buccal fat pad (BFP) is a specialized vascular tissue adequately present in buccal space and is close to the maxillary posterior quadrant. The aim of this clinical study was to evaluate the utility of pedicled BFP (PBFP) in the treatment of Class II and III gingival recession.Materials and Methods:Ten systemically healthy patients with age ranging from 35 to 55 years with Class II and Class III gingival recession in the maxillary molars were selected. Before the surgical phase, patients were enrolled in a strict maintenance program including oral hygiene instructions and scaling and root planing. A horizontal incision of 1–1.5 cm was made in the buccal sulcus of the maxillary molar region; buccinator muscle was separated bluntly to expose the BFP. The fat was then teased out from its bed and spread to cover defects adequately. It was then secured and sutured without tension. Clinical parameters such as probing depth, recession width, recession length (RL), and width of keratinized gingiva were recorded at baseline and at 6 months postoperatively, and weekly assessment was done at 1 week, 2 weeks, 3 weeks, and after 4 weeks for observations during the postoperative healing.Results:Treated recession defects healed successfully without any significant postoperative complications. Decreased gingival recession horizontal width values from 4.65 ± 0.4327 to 0.94 ± 1.350 and RL from 6.4 ± 1.075 to 0.7 ± 0.6750 were observed postoperatively (P < 0.05). Percentage of root coverage average was 89.3%. There was a statistically significant decrease in the width and depth of recession.Conclusion:Pedicled buccal fat showed promising results as the treatment modality in the management of Class II and Class III gingival recession of maxillary posterior teeth.
Eagle’s syndrome represents a group of symptoms that includes recurrent throat pain, globus hystericus, dysphagia, reffered otalgia, and neck pain possibly caused by elongation of the styloid process or ossification of stylohyoid or stylomandibular ligament. We present a case of 21 yrs old female having chief complaint of bilateral preauricular tenderness since one year. Her clinical signs resembled the presentation of Eagle’s Syndrome, which were radiologically confirmed by Orthopantomogram and Computed Tomography. Patient underwent surgical excision of caudal part of the elongated styloid process (styloidectomy). Postoperatively 10 months later, the patient had significant reduction of pain. DOI: http://dx.doi.org/10.3126/ijls.v8i3.10228 International Journal of Life Sciences Vol.8(3): 2014: 1-4
Discontinuity of mandible limits the balance of the lower face and leads to decreased mandibular function by deviation of residual segment toward surgical site. Delay in the initiation of mandibular guidance therapy may be due to varied reasons like postsurgical morbidities, tight wound closure, radiation therapy, flap necrosis, and others, which may result in an inability to achieve normal maxillomandibular relationships. When such deviated mandible is opposed to maxillary complete denture, then the rehabilitation would be of greater challenge. This clinical report presents rehabilitation of hemimandibulectomy defect with twin occlusion in maxillary overdenture with access posts and O-ring attachments.
How to cite this article
Kumar KVA, Legha VS, Saini DK. Wadhwa VN, Sarkar A, Chahar PK. Twin Occlusion in Maxillary Overdenture with Access Posts and O-ring Attachments in the Rehabilitation of Hemimandibulectomy Patient. Int J Experiment Dent Sci 2017;6(2):105-107.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.