Introduction: Many advanced techniques and materials have been introduced in the recent years with the advent of the new designing technology. Hence, in our study, we aimed to compare in maxillofacial trauma, the three-dimensional (3D) plating systems. Materials and Methods: We piloted a prospective clinical study among 50 subjects of both genders with mandibular parasymphysis fracture. We compared the 3D miniplates with the two-dimensional (2D) miniplates where the subjects were divided into 2 groups equally. The clinical parameters were compared at different times of follow-up after the surgery. Results: We observed that there was a similar distribution of the genders and the side of the fracture of the parasymphysis. There was a significant difference between the groups for the mouth opening while there was no significant difference for the sensory deficit. The subjects recovered better with the 3D mini-plates. Conclusion: The mandibular fractures can be successfully treated with the 3D miniplates that help in a quick and efficient recovery.
Introduction: In the subcontinent of India as well as for the other nations, the most usual cancer that affects the oral cavity the “squamous cell carcinoma”. The main side effects of the intervention of the SCC are the large defect and disfigurement. This study sought to investigate the various interventions of the SCC in a designated cancer institute. Material and Methods: A retrospective clinical study of the records was done between 2000–2020 years. The operated cases were analysed for various patient demographics as well as the site of the lesion and number distributions. The change in the techniques and the preference flaps over the periods was noted, and the values were compared for every 5 years. Results: A1001 patients were treated between the intended periods. Though there were larger number of men, the variation was not significant. Common sites were floor of the mouth (FOM) and tongue. The common interventions were primary closure, soft tissue free flaps and bone flaps. The shift was seen towards the free flaps. Conclusion: The Free flaps were the common applications in the constructions. Bone free flaps overtook the other procedures that were commonly applied. The quality of life and the aesthetics are seen to be better with the free flaps.
The objective of the present study was to assess the oral-health-related quality of life (OHRQoL) of oral submucous fibrosis (OSMF) patients. A convenient sampling technique was used to recruit the clinically diagnosed patients of OSMF (n = 50). Based on the medical treatment, the patients were randomly divided into two study groups (group A and B). The group A patients received hyaluronidase (1500 IU) and Group B patients received submucosal intralesional injections of dexamethasone (2 mL; 4 gm/mL). Both the group A and B patients received respective medical therapy biweekly for a period of ten weeks. At the follow up visit (3 months), the impact of treatment on OHRQoL was assessed using the Oral Health Impact Profile-14(OHIP-14). Data were analyzed by a chi-square test for quantitative variables and an independent t-test for qualitative variables. The comparison of all clinical parameters before and after treatment was performed by a paired t-test. The results after treatment showed that there was a significant improvement in all domains of OHIP-14 except psychological disability. In addition, the OHRQoL of patients was significantly improved following the treatment.
Aim: The purpose of this study is to evaluate the onset of anesthesia, anesthetic success and incidence of positive aspiration during administration of local anesthetic solution using the Vazirani Akinosi and Gow Gates techniques. Methodology: The study involves 100 subjects, divided into two different groups of 50 subjects each receiving Gow Gates, Vazirani Akinosi nerve blocks. The onset of anesthesia, positive aspiration and anesthetic success was evaluated. Results: In Vazirani Akinosi technique group, patients showed highest anesthetic success of 95.71%; there was a significant difference seen between the Gow Gates and Vazirani Akinosi techniques (p = 0.0241). The mean value of the onset of anesthesia in Gow Gates technique showed the longest 343.71 ± 153.20 s and in Vazirani Akinosi technique it was 192.86 ± 61.20 s. Conclusion: The Vazirani Akinosi technique was found to be significantly better than GG techniques with respect to both onset and success of anesthesia.
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