Background Benign osteoblastoma is a rare tumor of bone representing less than 1% of all tumors of the maxillofacial region. There is a slight predilection for the mandible. More frequent sites for this tumor are the vertebral column, sacrum, long bones, and calvarium. A small predilection in males exists. The age of occurrence ranges from 5 to 37 years, with an average of 16.5. Clinically, patients have pain and swelling. The tumor contains a wellvascularized, osteoblastic connective tissue stroma. Osteoclasts may also be present. Osteoid with varying degrees of calcification, as well as immature bone, is noted. Case report Very few cases of osteoblastomas occurring in the jaws have been reported in the literature. This is one such a rare case report of OB occurring in a 45 year old female patient with a swelling in right lower back region since 5 years. Summary and conclusion Osteoblastoma has to be differentiated from other bone lesions for correct diagnosis. Many bone producing lesions possess some overlapping clinical, radiographic or histopathological findings similar to osteoblastoma. Understanding and correlating all these features is of utmost importance. This helps in correctly diagnosing and helps in adequate management of this rare entity, giving a good prognosis.
Purpose To evaluate the incidence and recovery of persistent sensory disturbances of the infraorbital (IO) nerve after isolated zygomatic complex fractures with various treatment methods.
Methods and ResultsThe study was inclusive of isolated unilateral zygomatic complex fractures and fractures of IO rim .Tests performed were Pin prick and Electrical detection threshold test. The evaluation was done preoperatively, after 1 month and after 6 months of surgery. The results suggested that neurosensory disturbance was present in all the patients with zygomatic complex fractures. At 1 month post-operatively some sensory deficit was present in all the patients on the affected side. After 6 months all the patients showed near to normal improvement comparable to normal side. Conclusion Study shows that earlier the surgical intervention, more the recovery of the nerve injury is appreciable during the 1 and 6 months follow up period.
There were 5800 OPGs examined, out of which 2576 were of women and 3224 were of men. Bifid mandibular canals were observed in 135 (2.3%) out of 5800 digital panoramic images. There was no statistically significant correlation found with regard to age. Bifid mandibular canals were found with a female-to-male ratio of 1:1.2. The most frequently encountered type of BMC was type II (1.34%) followed by type I (0.72%), type IV (0.15%), and type III (0.1%).
There is no system available for evaluation for such injuries. The pathological condition states the nature of an illness but not the extent of the remaining health. Since the individual reacts as an integer it is important to include some appraisal of the physical factors influencing his work efficiency. As there is little clarity for disability and impairment, its separate assessment for maxillofacial injury is necessary. There are complex maxillofacial injuries that may cause impairment of sense, esthetic compromises, and functional loss. Epidemiology of craniofacial trauma-approximately 50 % of 12 million annual traumatic wounds treated in emergency rooms involve the head and neck. Being most common along with other injuries but is never considered for compensation. Facial region being the one that is the identity and factor that influences its social and emotional behavioral changes has not been considered. In this article various aspects have been considered for evaluation of compensation and disablement due to maxillofacial injuries.
Aim:This study aimed to evaluate the efficacy of intermaxillary fixation (IMF) screws and modified arch bar.Materials and Methods:This study is a randomized clinical trial in which all participants were divided into two groups of ten in each group and designated as Group A and Group B. In Group A, IMF was achieved by the use of four to six 2×8mm stainless steel IMF screws. In Group B, IMF was achieved by modified screw arch bar.Results:In the present study, a total of twenty patients were analyzed. The average working time for Group A and Group B was 16 min and 29 min, respectively. Oral hygiene scores through modified Turesky Gilmore plaque index were calculated at immediate postoperative period and after 15 days, 30 days, and 45 days. Maximum hygiene was maintained in IMF screw group than modified arch bar group, but maximum stability was observed in the modified arch bar group than IMF screw group.Conclusion:This study emphasizes the use of IMF screws as a quick and easy method than modified arch bar. Oral hygiene maintenance was comparatively better in patients with IMF screws than those with modified arch bar. Modified arch bar was significantly stable when compared with IMF screws; therefore, for patients who require long-term IMF, modified arch bars can be a viable option, but the perforation in the original arch bar may lead to the weakening of the arch bar, and therefore the prefabricated modified arch bar would be a better option.
Loss of teeth is sometimes inevitable. But, it is the duty of a restorative dentist to restore the loss of teeth in way keeping in mind the discomfort and agony of the patient. Rehabilitation of these types of patients requires thorough knowledge and great skills on the part of a prosthodontist. This clinical case report describes the management of a 58-year-old male patient with a loss of mandibular posterior teeth and severely attrited anterior teeth opposing natural teeth. The treatment plan was to restore the loss of teeth and the loss of vertical dimension by providing prosthesis keeping in mind the occlusion and stomatognathic system. A novel approach of fixed and removable type of prostheses was implemented and successfully delivered.
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