Objectives This study was undertaken to compare the anesthetic properties of 4 % Articaine hydrochloride and 2 % Lidocaine both with 1:100,000 epinephrine for mandibular inferior alveolar nerve anesthesia. Materials and Methods Thirty healthy patients were included in this randomized double-blind clinical cross over study. Each subject received each test solution at different times. Inferior alveolar nerve block anesthesia was used for extraction of bilateral impacted mandibular third molar on different occassions. The time of onset of action, duration of anesthesia, efficacy of anesthesia, hemodynamic parameters and oxygen saturation were monitored during the procedure. A visual analog scale was used to assess pain during surgery, and thus subjectively evaluate the anesthetic efficacy of the two solutions. Results No statistically significant differences were seen in the onset and duration of anesthesia between the Articaine and Lidocaine solutions. Conclusions 4 % Articaine offers better clinical performance than 2 % Lidocaine, particularly in terms of latency and duration of the anesthetic effect. However, no statistically significant differences in anesthetic efficacy were recorded between the two solutions.

No abstract

This particular case may be the unique of its kind, as recent literature did not reveal any case where an ectopic mandibular third molar led to osteomyelitis of the condyle. Diagnosis and management in such cases deserve very special attention to rule out various local and systemic causes which can cause osteomyelitis to affect very unusual site like mandibular condyle. The aim of surgical intervention should be to cause minimum morbidity without affecting the functional efficiency of the mandibular condyle. In this report, we also have proposed the indications for surgical intervention to remove ectopically erupted teeth.

No abstract

The aim of study was to evaluate prevalence of systemic disease in oral surgery patients of central India which is 4.055 % with highest population showing involvement of cardiovascular disease and minimum population undergoing oral surgical procedures are compromised by various infectious diseases.

Very few cases of osteonecrosis and spontaneous teeth exfoliation secondary to herpes zoster are found in the literature. The exact mechanism by which herpes zoster induces these destructive changes in the alveolar bone and teeth cannot be proposed. As Varicella zoster virus is an aneurotropic virus, the possible provoking factors may be the infection of the nerves innervating the periosteum or the chronic inflammatory changes in the form of adverse periodontal disease and delayed healing of the extraction sockets associated with compromised host resistance.

Lidocaine, an amide local anesthetic is administered regularly for the minor oral and dental surgical procedures. In this article, ophthalmic complications arising from Posterior superior nerve block are discussed and a case report which had dilatation of pupil and ptosis of eye lids is presented. A review of literature is done regarding the ophthalmic complications. The precautions one needs to take during the administration of Local Anesthesia (LA) especially Posterior Superior Alveolar nerve block and management guidelines are highlighted.

Zygomatic arch fractures occur due to a direct injury to the lateral aspect of the head. When there are multiple fractures of the arch, open reduction and internal fixation is indicated. Conventionally hemi-coronal and preauricular incisions are placed to approach the arch. A modified temporal incision has been described. Open reduction and internal fixation of zygomatic arch fractures has been done.