Amoxicillin possess antimicrobial activity against major pathogens in orofacial odontogenic infections, but β-lactamase production has restricted the effectiveness of amoxicillin against the resistant strains of Staphylococcus aureus, Bacteroides, Prevotella and Porphyromonas. For the management of orofacial infections, the use of amoxicillin/clavulanate and clindamycin is recommended because of stability against β-lactamases.
Temporomandibular joint dislocation refers to the dislodgement of mandibular condyle from the glenoid fossa. Anterior and anteromedial dislocations of the mandibular condyle are frequently reported in the literature, but superolateral dislocation is a rare presentation. This report outlines a case of superolateral dislocation of an intact mandibular condyle that occurred in conjunction with an ipsilateral mandibular parasymphysis fracture. A review of the clinical features of superolateral dislocation of the mandibular condyle and the possible techniques of its reduction ranging from the most conservative means to extensive surgical interventions is presented.
. The clinical presentation and outcomes of the surgical management were analyzed. RESULTS: The 8 patients ranged in age from 16 to 48 years, with a mean age of 28.75 years. The lesion showed a male predilection with a male to female ratio, 3:1. Out of the eight cases 5 were located in mandible (62.5%) and 3 were present in maxilla (37.5%).
Temporomandibular joint ankylosis is a pathological condition where the mandible fused to the glenoid fossa by bony and fibrotic tissues, which leads to a restriction of the mouth opening from partial reduction to complete immobility of the jaw. It is most commonly associated with trauma followed by local or systemic infection, tumors or systemic disease such as ankylosing spondylitis, rheumatoid arthritis, or psoriasis. This is a case report of an unusual presentation of bilateral Temporomandibular Joint (TMJ) ankylosis with rare finding of odontogenic keratocyst extending into the ankylosed segment. The CT scan revealed a welldefined with multicystic radiolucency appearance replaced the usual picture of TMJ ankylosis of a radio-opaque mass obliterating the normal architecture of the joint. Surgical exploration revealed cystic cavity filled with cheesy material within the ankylosed mass on right side of TMJ.
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