Objectives: The intention of this study is to record the role of oral surgery in treating pediatric age group also to understand and emphasize the surgical protocol in pediatric patients. Material and Methods: In this retrospective study, data about the pediatric patients treated for maxillofacial fractures, cyst, and tumors were recorded since 2017 from the archive of Department of Oral and Maxillofacial Surgery, Rajah Muthiah Dental College, and results were analyzed. Results: Since 2017, almost 220 cystic and fracture cases including pediatric and adult patients have been recorded of which 72 cases were odontogenic cysts and tumors and 148 were maxillofacial fractures. Among these, 17 cases were reported in patient <15 years that account for 7.72% of all cyst and fracture. Of these, nine cases were pediatric fractures and eight cases were pediatric cyst and tumors. Conclusion: The practice of pediatric dentistry demands a holistic approach toward oral health with thorough understanding of the anatomy, behavior, and growth potential of the child. Thus, the role of oral surgeons in providing care for such age group remains cardinal as they treat the pathology and maintain growth as well without any setback.
Objectives: The objective of the study is to revisit the forgotten art of Lingual split bone technique during the COVID pandemic as a Standard Operating Procedure (SOP) for the surgical removal of impacted mandibular third molars. It was originally introduced in early 90’s by Sir William Kelsey Fry and also we have compared its advantages over the bone guttering technique. Materials and Methods: Twenty seven cases were operated during COVID pandemic in our institution using Davi’s modified lingual split technique under strict COVID protocol. Results: All impacted mandibular third molars were successfully removed. With regards to post-operative complication; 3 patients had nerve injury (11%), 2 patients had lingual paraesthesia (7.6%), 1 patient had alveolar osteitis (3.8%), 2 patients had postoperative infection (7.6%), 3 patients had trismus (19%). The overall success rate was 100%. Also the results of a comparison between bone guttering and chisel-mallet technique were stated. Conclusion: The use of lingual split bone technique deserves consideration during this COVID time as an alternate for bone guttering in surgical removal of third molar as it ensures minimal cross infectivity rate among both dentists and patients. Thus, patient care can be delivered with confidence even during pandemic.
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