Introduction: Local anaesthesia (LA) is the usual drug used in dentistry to reduce intraoperative pain. The efficacy of lignocaine is improved by adding adrenaline as a vasoconstrictor. Adrenaline decreases the systemic absorption of LA and reduces blood loss during the surgical procedure. The study was conducted to observe the effect of adrenaline on blood glucose concentration in patients undergoing tooth extraction. Materials and Methods: The study was conducted on 100 patients needing multiple teeth extraction. On the first appointment, extraction was done using lignocaine without adrenaline (plain), and for the second appointment, extraction was done using lignocaine with adrenaline (1:200,000). Serial blood glucose estimations were carried out at identical intervals on both occasions. Results: Significant difference in blood glucose level was noted when the patients received lignocaine with adrenaline before administration and after 10 min/20 min intervals ( P < 0.05). Discussion: Constant vigilance and prudence are recommended while using lignocaine with adrenaline in patients suffering from diabetes mellitus.

Aim and Objectives: The clinical study was conducted to evaluate the effect of a single 40 mg dose of methylprednisolone into the masseter muscle via the intrabuccal approach following the surgical extraction of impacted lower third molars under local anesthesia. Materials and Methods: In this single center, prospective, randomized controlled, double blind study 100 participants were divided into 2 groups. The study group received a single dose of Inj Methylprednisolone 40mg into the masseter muscle via the intrabuccal approach postoperatively, while the control received an I.M placebo drug. The efficacy of this procedure in controlling typical post-operative complications (pain, swelling, and mouth opening) was evaluated. Results: The patients administered methylprednisolone showed superior results after 2 and 5 days in terms of facial swelling (p < 0.05) and on 5th day after intervention with a p-value of 0.008 in terms on pain. Conclusion: Results obtained showed that 40 mg of Methylprednisolone can effectively reduce the patient discomfort post operatively after surgical removal of impacted teeth.

Lipomas are common soft tissue tumors, but occur infrequently in the oral and maxillofacial region. Incidence of oral lipomas are noted to be only 1 - 4.4% with common sites being buccal mucosa followed by lips, tongue and vestibule. In this paper we would like to report a rare case of an extensive lipoma in the chin region.