It can be concluded that panoramic radiographs are reliable in assessing the proximity of impacted mandibular third molars to inferior alveolar canal. Mesioangular impactions are more closely placed to inferior alveolar canal and interruption of the white line is the most reliable risk predictor sign on the panoramic radiographs.
Background: Pain as a result of tooth movement is a common clinical symptom for orthodontic patients. Pain increases after the placement of the first arch wire ranging from slight discomfort to throbbing pain. Pharmacological therapy may has undesirable side effects. Furthermore, it has been observed that use of non-steroidal anti-inflammatory drugs impedes tooth movement which is critical for any orthodontic treatment. For these reasons, there is high need of other non-pharmacological interventions to manage pain. Objective: The study was designed to assess the efficacy of low-level laser therapy (LLLT) in alleviating pain from fixed orthodontic appliance therapy.
Materials and Methods:The study group comprised 30 subjects undergoing fixed orthodontic therapy. They were categorized into three groups with 10 subjects in each group as intervention (LLLT) group (IG) -received LLLT, placebo (blind) group (PG) -received simulated LLLT, and control group (CG). Pain was evaluated using a pain questionnaire at 1, 24, 48, and 72 h after LLLT. Results: At 48 h statistically significant difference in pain score was noted between IG and CG (P = 0.001) while IG and PG were insignificant (P = 0.088). At 72 h statistically significant difference in pain score was noted between IG and PG (0.08); IG and CG were 0.001 while PG and CG were insignificant (0.915). Conclusion: LLLT reduced the duration and intensity of the pain in patients undergoing fixed orthodontic therapy.
Oral cavity is habitat for plethora of micro-organism causing various diseases. The most common includes dental caries, periodontal diseases, etc. Dental practice may rarely encounter unusual and subtle symptoms with nonpathognomonic clinical signs of several fatal diseases which may pretend like a common oral disease. Hence, the knowledge and clinical acumen of diagnostician are necessary for the early diagnosis of such fatal infections to prevent untoward consequences. Mucormycosis is an angioinvasive necrotic fungal infection with a high morbidity and mortality rate. It commonly occurs in patients with debilitating diseases and immunocompromised individuals. Clinically, it manifests as rhino-orbito-cerebral, pulmonary, cutaneous, gastrointestinal, renal, and disseminated form. Disease affecting the facial region is a challenge as it often disseminates with orbital and cranial involvement at the time of diagnosis. This article presents a case of mucormycosis which mimicked as severe periodontitis in a patient leading to delay in the diagnosis and challenges during the treatment.
Lipoid proteinosis is a sporadic congenital metabolic disorder which is characterized by deposition of hyaline material in dermis, submucosal connective tissue, and various internal organs. It has an extremely low prevalence rate with less than 300 cases reported so far. This progressive disease has a vast spectrum of manifestations ranging from asymptomatic lesions to fatal seizures and respiratory obstruction making timely diagnosis of this rare disorder an imperative task for oral health care practitioners. We report a case of characteristic oral manifestations of lipoid proteinosis in a 28-year-old male patient along with a review of relevant prevailing literature.
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