Tubercular osteomyelitis of the maxilla & mandible was earlier considered as a rare disease but the incidence is on the rise with isolated presentation in the jaws. The rarity of the disease in the jaws usually has clinical doubt especially when the positive history of systemic infection was present. Early diagnosis of tubercular osteomyelitis will certainly reduce the morbidity of disease condition. Hereby we report two cases of tubercular osteomyelitis of maxilla & mandible. Case 1: A male patient of 19 year old of tubercular osteomyelitis was referred for medical management & 2 nd male patient of 58 year old who presented with a non-healing socket since 1 month. He was treated with surgical intervention & anti-tubercular drugs.
The fracture of the comminuted type has a prevalence of 30 to 50 % when related to the affecting mandibular bone. They are characterized by the presence of multiple bone involving several lines of fracture, resulting in small fragments within the same area. Treatment modalities for the management of comminuted mandibular fractures include closed reduction, external pin fixation, internal wire fixation, and open reduction and internal fixation using miniplates, titanium mesh tray and screws. The following case report highlights open reduction and internal fixation of a comminuted mandibular fracture in a 24-year-old male patient. The patient treated with open reduction and with a reconstruction plate followed by a short period of maxillomandibular fixation.
Central giant cell granuloma (CGCG) is an uncommon, benign, and proliferative lesion of the jaw with an unknown aetiology, was first described by Jaffe in 1953.The lesion is found predominantly in children and young adults, with more than 60% of all cases occurring before the age of 30 years. The female: male ratio is 2:1. Lesions are more common in the anterior region of the jaws, and mandibular lesions frequently extend across the midline. CGCG can be difficult to diagnose from other lesion of oral cavity like Hyperparathyroid tumour, Ameloblastoma, Odontogenic myxoma, Haemangioma, Cherubism, Central odontogenic fibroma, Aneurysmal bone cyst, Traumatic bone cyst. Numerous treatment modalities given in literature from non-surgical to surgical. This paper intends to focus on diagnosis, clinical presentation and different management options of CGCG. So our aim was to evaluate the response of treatment of CGCG to intralesional injection.
Autologous blood injection (ABI) into the articular cavity, It is one of the treatments for recurrent temporomandibular joint dislocation, was recently reintroduced, here we present a case report of the management of recurrent temporomandibular joint dislocation by Autologous blood injection (ABI) in a 45 -year-old neurologically disabled female. After the treatment, the left condylar process had settled just beneath the articular tubercle, the dislocation had improved, the patient was able to close her mouth & patient was followed on 3 rd day, 15 th day, 1 month, 3 rd month, 6 th month, 1 year for 1 year.
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