Aims and Objectives (1) To determine the incidence of inferior alveolar nerve (IAN) deficits following surgical extraction of mandibular third molar.(2) To document recovery of IAN injuries. Materials and Methods A total of 400 lower third molars were extracted, 205 male patients and 195 females. All underwent extraction by the prescribed buccal approach. All cases were examined by one examiner preoperatively and postoperatively, at 7 days, one month, two months and six months. Two-point discrimination test (2-pd), brush stroke direction (BSD), contact detection, pin prick and thermal testing was carried out. Results and Conclusion One patient presented with IAN injury (0.25%). This single case of nerve injury was mesioangular, Level B, Class 2, impaction with a difficulty rating of 5. Levels A and B tests (2PD, BSD, Contact detection) were altered. In these tests, the IAN did not show any signs of recovery by six months. Level C tests (pin prick test, sharp blunt detection) showed that the nerve had recovered completely by two months.
Higher mean pixels was recorded in cases compared to controls at all the time intervals viz., immediate post op, 1 month post op, 3 months post op and 6 months post op. However, the difference in the mean pixels recorded between the two groups was not statistically significant (P > 0.05). For complete analysis, further follow up of the present patients and a larger sample size is required to obtain a conclusive result of the Bone Regeneration in extraction sockets with PRF gel.
Background/Aim
Condylar fractures account for a large proportion (20% to 52%) of mandibular injuries. The goal of treating these fractures is to restore the occlusion, thereby re‐establishing the masticatory function as close as possible to the patient's pre‐trauma state. The aim of this study was to compare the bite forces following unilateral condylar fractures treated by open reduction and internal fixation (ORIF) with those managed by the closed method.
Method
Patients with unilateral mandibular condylar fractures were divided into two groups (n = 20) using a simple randomization method. Patients in group I were treated by open reduction and internal fixation (ORIF) using titanium miniplates and screws. Patients in group II were treated by the closed method with inter‐maxillary fixation. Patients in both groups were evaluated pre‐operatively and then post‐operatively at one week, one month and three months for maximum bite force achieved at the central incisor, premolar and molar regions.
Results
Pre‐operative bite forces on the unaffected site were significantly higher than the affected site in both groups, whereas no significant difference was observed in bite forces between the unaffected and affected sites in both groups post‐operatively. The bite forces achieved at both the unaffected and affected sites in the ORIF group were significantly higher than in the closed group.
Conclusion
Maximum bite forces differed significantly when the treatment was done with the open method, and the patients treated with the open method needed less time to achieve the maximum bite forces, thereby making an earlier return to function.
Although fibromatosis of the mesentery is a very rare locally aggressive benign condition, the uncertain treatment modalities, the natural history of the disease, and the other common differential diagnosis of the condition along with inexperience of the general clinicians with this disease pose a challenge to the professionals. The prolonged periods of stability and even regression in size of the tumor offer a hope for treatment. Accounting for 0.03 % of all neoplasms, it is also known as deep fibromatosis and desmoid tumor. Here, we discuss one case of primary mesenteric fibromatosis in a young male patient who presented to us with chronic abdominal pain after he was treated for acid peptic disease for the same at a local hospital. This case shows how management of this disease can be delayed due to unfamiliarity among clinicians of this condition. In our patient, a palliative surgical management plan was undertaken due to symptomatic mass in the abdomen, owing to unresectability.
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