Oral myiasis in brain hemorrhage

Myiasis is a rare condition which arises from the invasion of body tissues or cavities of living animals or humans by maggots or larvae of certain species of flies. Oral myiasis is seen especially in individuals with neurologic deficit, secondary to oral wounds, suppurative lesions, and extraction wounds. The halitosis and neglected oral hygiene attracts flies to lay eggs in oral wounds which results in oral myiasis. We present a case of oral myiasis in a 63-year-old female patient who was medically compromised since 6 months

Desmoplastic ameloblastoma of maxilla: Radiologic–Pathologic correlation

Desmoplastic ameloblastoma (DA) is a rare variant of ameloblastoma, and less than 170 patients have been reported in the literature. The present case deserves special importance because of its rare occurrence, unfamiliar appearance, potentially aggressive nature, and high chances of misdiagnosis. Moreover, the radiographic features of this lesion rarely point towards ameloblastoma. Desmoplastic variant of ameloblastoma tends to infiltrate between bone trabeculae. The risk of recurrence is high. This report is an attempt to help the dental community in developing familiarity with the clinical presentation and at the same time advocating to develop a high index of suspicion in recognizing such cases

Botryoid odontogenic cyst developing from lateral periodontal cyst: A rare case and review on pathogenesis

Botryoid odontogenic cyst (BOC) is considered to be a polycystic variant of the lateral periodontal cyst (LPC) as the specimen resembled a cluster of grapes. It is a non-inflammatory odontogenic cyst. The BOCs can be unicystic or multicystic. These cysts have potential to extend in the bone and become multilocular and they have a high recurrence rate. Till now, only 73 cases of BOC have been reported. The pathogenesis of BOC is still debatable. We review different pathogenesis proposed for BOC and discuss a rare case of BOC developing from lining of an abnormally large LPC which showed aggressive behaviour in terms of growth and size

Evaluation and management of oral complications in oral cancer patients undergoing radiotherapy

Background: Mucositis, xerostomia, dysgeusia, trismus, radiation caries, osteomyelitis, and osteoradionecrosis are a few examples of radiotherapy (RT) complications, eventually distressing the patient's life. Objectives: To study the oral complications emerging due to RT and evaluate dental management of such complications before, during, and post-RT in oral cancer patients. Methods: Patients were evaluated on various parameters, which include the Oral Hygiene Index Simplified (OHI-S), Periodontal Index (PI), Gingival Index (GI), D – Decayed, M – Missing due to caries, F – Filled, T – permanent teeth (DMFT) Index, mucositis, xerostomia, dysgeusia, and interincisal distance before, during (10th session and last session), and 1 month after the last session of RT were evaluated and compared. Statistical Analysis: The following tests were applied: Chi-square test, analysis of variance (ANOVA) test, and standard deviation method. Results: P value <0.001 in OHI-S, PI, GI, DMFT index, mucositis, xerostomia, and dysgeusia, which is statistically significant. There was no difference found statistically in the interincisal distance. Conclusions: Oral healthcare team serves a vital role in preventing and managing short- and long-term complications of RT. There should be a mandatory prerequisite to visit an oral physician before, during, and after RT for supportive and palliative oral care

Treatment prostheses in TMJ dysfunction-pain syndrome: Systematic review & meta analysis

Manual therapy (MT) and exercise have been extensively used to treat people with musculoskeletal conditions such as temporomandibular disorders (TMD). The evidence regarding their effectiveness provided by early systematic reviews is outdated. The aim of this study was to summarize evidence from and evaluate the methodological quality of randomized controlled trials that examined the effectiveness of MT and therapeutic exercise interventions compared with other active interventions or standard care for treatment of TMD. Material and methods: Electronic data searches of 6 databases were performed, in addition to a manual search. Randomized controlled trials involving adults with TMD that compared any type of MT intervention (eg, mobilization, manipulation) or exercise therapy with a placebo intervention, controlled comparison intervention, or standard care were included. The main outcomes of this systematic review were pain, range of motion, and oral function. Forty-eight studies met the inclusion criteria and were analyzed. Results: The overall evidence for this systematic review was considered low. The trials included in this review had unclear or high risk of bias. Thus, the evidence was generally downgraded based on assessments of risk of bias.&nbsp