INTRODUCTION: Fibroma is the most common benign tumor-like lesion of the oral cavity. They are non-neoplastic brous overgrowths; usually reactive or irritational in nature. Different kinds of surgical treatments have been employed for the removal of bromas, which include simple excision using scalpel, laser technology, electrical surgery, and cryotherapy. This report aimed at comparing two different treatment modalities for excision of broma- laser and scalpel. METHODS: Two cases of irritational broma, one using a diode laser and another using scalpel, were undertaken for comparison. RESULTS: Parameters like time taken for the procedure, intra-operative bleeding, ease of surgery for the surgeon, and the post-operative wound healing were evaluated with both the techniques. Excision with laser was an easier procedure for the surgeon and the time taken was less than excision with scalpel. Additionally, bleeding was controlled better and a signicantly faster healing period was observed with laser as compared to excision with scalpel. CONCLUSION: Excision with laser provides better working conditions and has a quicker and superior post-operative healing over the scalpel surgery
Purpose: Intermaxillary xation (IMF) is an essential principle in the management of mandibular fractures; but with the recent advent of open reduction and internal xation (ORIF), the use of IMF is almost limited to intraoperative procedure only. This study aims to investigate and compare the effectiveness of Erich arch bar & intermaxillary xation (IMF) screws for the management of mandibular fractures. Materials And Method: A randomized prospective study was conducted on 20 patients with mandibular fracture, who were randomly allotted to two groups. Group A patients received intermaxillary xation using Erich arch bar and group B patients received IMF screws. The parameters assessed were time taken for application and removal of appliance, stability of occlusion, glove perforation, and pre-and post-operative plaque accumulation. Results: The mean time for placement of the Erich arch bar was 43.10 minutes as compared to 18.60 minutes with intermaxillary xation screws. Better occlusal stability was shown with an arch bar over IMF screws, and was statistically signicant. More glove tears or penetrations occurred during application in group A than Group B (p<0.01). Also, The Plaque Index assessment on removal of appliance showed a statistically signicant difference between the two groups; higher in the arch bar group. Conclusion: This study indicates that with acceptable occlusal stability, IMF screws technique is an effective and favourable alternative to Erich arch bars for temporary intermaxillary xation in mandibular fractures.
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