Premedication with midazolam plus low-dose ketamine prior to surgical extraction of third molars can provide the patient with a comfortable procedure and good postoperative analgesia, with less swelling and significantly less pain.

No abstract

With the technological improvements, humans encounter with equipments/devices in their routine life, especially automobile batteries, watch and mobile phone batteries. These devices transform chemical energy to electrical energy.Although blast injuries are common with war; cooking gas and firecracker, but in last couple of years mobile phone blast cases are coming up. On reviewing the literature , only few cases have been reported yet. We here report a case of mobile battery blast due to which he had oral and ocular injuries.

Ocular complications after snake bite are well reported.External ophthalmoplegia is an established association with neurotoxic envenomation, but, combination of internal and external ophthalmoplegia(complete ophthalmoplegia) can mimic brain death and pose a dilemma to the doctors treating such patients regarding continuation of therapy. We here report a case of a 8 years boy who was playing and something has pierced in his right hand. He thendeveloped pain , swelling in his right hand and forearm and weakness of limbs and subsequently other systemic symptoms and signs.On examinationtwo clean puncture wounds were identified on his right index finger. A provisional diagnosis of snake bite with severe envenomation was made and anti snake venom was started. Over a period of 3-4 hourshis weakness progressed and became areflexic.Subsequently the patient developed internal and external ophthalmoplegia and loss of other brain stem reflexes mimicking brain death.

Human papilloma virus (HPV) constitutes the majority of newly acquired sexually transmitted infections. Nearly 75% of sexually active men and women have been exposed to HPV at some point in their life. Oral Sexual behaviour is an important contributor to infection of HPV in the oral mucosa. The appearance of lesions due to HPV infection range from common warts, palmer and planter warts to flat, filiform, genital warts and oral warts. We present here a case of oral warts which patient developed as a result of oral sex.