The extraction of impacted 3rd molar is most frequently performed surgery now-a-days as it can lead to infections, cysts, tumors, neuralgiform pain, and disturbances of occlusion, masticatory dysfunctions and myoarthropathies. Damage to inferior alveolar nerve leads to impairment of sensation in the lower lip, which is most unpleasant postoperative complication. For surgical removal of impacted mandibular molars, relative position of inferior alveolar nerve with mandibular 3rd molar is of utmost importance. There are number of positions in which inferior alveolar nerve is located in relation to impacted 3rd molar which, either in a direct contact with the 3rd molar or has no contact at all. While performing surgical procedures in the vicinity of 3rd molar, Inferior Alveolar Nerve can be damaged but with high expertise and precision the operator can spare the nerve without any injury. In this case report, we discuss about the surgical management of a case with bilateral impacted 38, 47, near the Inferior alveolar nerve to avoid paraesthesis of lip.
Retromolar area has so much importance due to their spatial relationships with the surrounding structures and cancer of this area can spread to nearby muscles, adipose spaces, and other anatomic structures, such as the soft palate, tonsillar fossa, parapharyngeal space, and the floor of the mouth.
Use of multiplanar computed tomography reconstructions to evaluate normal retromolar trigone anatomy and the main pathways of spread for tumours.
The primary treatment of retromolar trigone carcinoma is radiotherapy and the surgical salvage.
A 58 year old female patient was reported to Darshan Dental & Oral cancer center with complaints of oral ulcer since 6 months. Clinical examination revealed that an ulcer at right alveolar ridge without localized lymphadenopathy. Radiographs revealed minor bone loss at the particular area. Histologically she was diagnosed with well differentiated squamous cell carcinoma. The patient was advised for the surgical excision with radio-chemo therapy .The patient was under regular follow up.
Squamous odontogenic tumor is a benign epithelial odontogenic tumor that is very unusual in the maxilla & mandible. Mostly, these are present as single lesions, but rarely they can be multifocal lesions. The nature of maxillary lesions is more aggressive. Because of their benign nature, these lesions are frequently treated with conservative surgical techniques that include curettage and surgical enucleation. We will discuss the instance of a 29-year-old lady who was misdiagnosed and treated conservatively by us. This case was examined in the light of current knowledge of the prevalence, genesis, diagnosis, and treatment of squamous odontogenic tumors, as well as a literature review.
Radicular cysts are the most common (57%- 87%) asymptomatic odontogenic cysts of inflammatory originaffecting the human jaws , it can result in slow growth tumefaction and involve many adjacent sound teethendangering their vitality and prognosis. It is usually a sequelae of the periapical granuloma originating as aresult of bacterial infection and necrosis of the dental pulp, nearly always following carious involvementtooth. We discussed a case of radicular cyst near the danger area of face. It can be threatening if the cyst ispresent in the dangerous area of the face. The dangerous area of face comprises the upper lip, the lower partof nose and the adjacent area. It has been named as dangerous area because boils, infections of the nose andinjuries around the nose, especially those that become infected can readily spread to cavernous sinus resultingin cavernous sinus thrombosis (CST). CST is generally a fulminant process with high rates of morbidity andmortality. In this case report, we are documenting a rare case of radicular cyst of “patient age and sex” in themention the name of exact location area of the face. We surgically excised the cyst with effectiveantimicrobial agents and save the adjacent teeth also.
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