Alveolar osteitis (AO) is the most common complication of dental extractions, especially, the mandibular third molar. Zinc oxide eugenol (ZOE) is commonly used as a surgical dressing for the treatment of AO. However, the search for better dressing materials is still underway. Therefore, the present study aims to evaluate the impact of the intra-alveolar application of Metronidazole (MN), Chlorhexidine (CHX), and Lignocaine (LC) on the treatment of alveolar osteitis and compare it with that of ZOE. A total sample of n=32 patients was randomly assigned into the experimental group treated with MN+CHX+LC combination, while the control group was treated with ZOE paste dressing. Pain, discomfort, and healing were assessed on 3-day and 2-week follow-ups. A statistically significant difference was noted in the number of individuals with pain (p=0.006) and halitosis (p=0.002) on the third day follow-up with higher number of individuals in the control group still experiencing the symptoms. By the end of two weeks, all the patients in the experimental group (n=16) had relief from pain and discomfort while they persisted in n=4 patients and halitosis was noted in n=9 patients treated with ZOE dressing. The experimental combination has a clear advantage as a medicament dressing because of its superior antibacterial and anesthetic properties over ZOE dressings. The combination reduces the time period required for healing the socket in AO, while greatly adding to the patient’s comfort and overall well-being.
Odontogenic myxoma (OM) is a rare benign odontogenic tumor characterized by stellate and spindle-shaped cells dispersed in an abundant myxoid extracellular matrix. The bony invasion by the tumor imparts a characteristic ‘soap bubble’, ‘honeycomb’, or ‘tennis racquet’ radiographic appearance to the lesion. The decision of adopting a conservative or radical approach also depends on various factors such as location, size, and duration of the lesion, and age, gender, and expectations of the patient. Therefore, adequate treatment planning is crucial for the management of cases of OM and varies on an individual basis. The present case report described the management of a case of unusually large OM occurring in a 31-year-old Indian female in the mandibular anterior region crossing the midline.
Aim: To assess the rate of postoperative complications and its association with respect to aetiology, gender, age, time lapse between injury and commencement of treatment, history of substance abuse, number and location of the fractures in mandibular fracture patients treated with open reduction and internal fixation (ORIF) under regional anaesthesia. Materials and method: All patients fulfilling the selection criteria with mandible fracture reporting to our institution, from March 2017 to August 2021, were included in the study and were divided into three groups based on anatomic site involved. Patient’s records were analysed for deriving complications that occurred during the postoperative period of ORIF andassociation with different variables. The values were subjected to Chi-square tests. Results: Out of 160 study population, patients with combined Para symphysis involving angle (Group C) were reported with the highest number of complications such as minor occlusal discrepancies (20.4%), surgical site infection (4.1%), wound dehiscence and paraesthesia (4.1%) as compared to fractures involving symphysis & para symphysis region (Group A and Group B respectively). Conclusion: The most common postoperative complication in this study was surgical site infection which can be managed effectively with local wound care, antibiotics and can be prevented with aseptic technique.
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