Purpose:
This paper is intended to compare and evaluate the better treatment option in the management of subcondylar fractures of the mandible.
Materials and Methods:
This study included 20 patients who were diagnosed clinically and radiologically to have sustained an isolated subcondylar fracture of the mandible. They were divided into two groups randomly. Group I included 10 patients who underwent treatment by intermaxillary fixation alone followed by active physiotherapy in the form of conservative management. Group II included 10 patients who underwent treatment by surgical intervention for open reduction and internal fixation under general anesthesia following elastic guidance. Factors such as maximal mouth opening, pain scores, and deviation of mandible on mouth opening were taken into consideration and evaluated.
Results:
It is observed that the patients in Group I had weight loss and restrictions in their social well-being in the early recovery phase, in addition to delay in return to function. In spite of the early return to function, patients in Group II were subjected to all kinds of surgical complications such as transient facial nerve injury, infection, and unesthetic scar. The maximal mouth opening and deviation of the mandible on mouth opening remained almost the same in both groups.
Conclusion:
A regular follow up of operated patients post trauma is essential to obtain morphological and functional recovery. When the respective advantages and disadvantages of both treatment options were compared and evaluated, it was observed that patients treated by closed reduction had a better clinical and psychological outcome.
Introduction:
Various materials are used to improve the longevity of the dental implants. In our study, we assessed the marginal bone loss around dental implants after implantation with platelet-rich plasma.
Materials and Methods:
We conducted a prospective clinical study among 200 subjects who were grouped equally as those with and without the application of PRF in the implantation. The radiographic and clinical features for the marginal bone loss were assessed and compared keeping
P
< 0.05 as statistically significant.
Results:
We observed no significant variation between the groups for the mobility, bleeding on probing, plaque index, and marginal bone loss.
Conclusion:
We can conclude that the application of PRP concentrate did not significantly affect the marginal bone loss in the dental implantation.
Clinical presentation of odontogenic keratocyst (OKC) along with other pathologies of the jaw such as ameloblastoma, and ossifying fibroma is well documented. However, the simultaneous occurrence of OKC with lateral periodontal cyst (LPC) is very rare. We present a clinical scenario where there was concurrent presentation of OKC with LPC.
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