Primary Oral Myiasis: A Case Report

Myiasis commonly refers to invasion of live human or animal tissue by fly larvae of the Diptera order where they complete their cycle totally or in part, feeding on living or dead tissue, as well as on body fluids. Infestation of tissues of vertebrate species is pandemic but more frequently found in tropical and subtropical countries where poor hygiene, poor housing infrastructure, warm humid climate, and proximity with domestic animals prevail. Its diagnosis is made basically by the presence of larvae. The present paper reports a case of gingival myiasis involving 14–16 larvae in a 12-year-old boy

TMJ Ankylosis: Multidisciplinary Approach of Treatment for Dentofacial Enhancement—A Case Report

This report describes the multidisciplinary phasewise treatment of a 20-year-old female patient having unilateral right TMJ bony (true) ankylosis whose mouth opening was restricted to 2 mm and mandibular retrognathism; additionally, she was also suffering from speech problems, snoring, difficulty in breathing, and low level of self-esteem and self-confidence. Bilateral gap arthroplasty and temporalis myofascial graft interpositioning through preauricular approach were done in surgical phase followed by the aggressive jaw physiotherapy in postsurgical period. Oral prophylaxis and restorations were followed by the fixed orthodontic therapy to resolve bimaxillary protrusion. Advancement sliding genioplasty was performed to enhance the chin button. Speech therapy and psychological counseling were also performed from time to time to boost up the self-esteem and self-confidence. At the end of treatment, facial esthetics was improved considerably and patient got over the impact of disfigurement, impaired functions, and psychosocial stigma. Rationale to use the multidisciplinary team approach in treatment of such cases is discussed

Efficacy of Kinesio taping in post operative sequalae after surgical removal of mandibular third molars: a split mouth randomized control study

Abstract Background The surgical removal of impacted lower third molars produces a significant degree of trauma to the soft tissue and bony structures of the oral cavity, which can initiate considerable inflammatory reaction. Consequently, patient experiences pain, swelling, hemorrhage, nerve paraesthesia, limited mouth opening etc. The kinesiologic tape (KT) can help with blood and lymphatic circulation and has shown acceptable outcomes in reducing pain and in managing post-operative muscle spasm. Methodology The study was aimed to compare the effects of kinesiologic tape on post operative pain, swelling and trismus following surgical removal of mandibular third molar when compared to control group. 15 patients with bilaterally impacted mandibular third molar were included in the split mouth study. One side was randomly assigned as Group A where patient’s face was subjected to Kinesio tape application post extraction. The other was Group B where Kinesio tape was not applied. After extraction each patient was evaluated in terms of post op pain, swelling and trismus in post-op day 1,2 and 7th. Results The pain was found to be significantly less (p = 0.042) in group A when compared to group B on the first day. The mean pain was 5.07 in KT group and 6.20 in No KT group on day 2nd. Post OP Swelling was statistically significantly less (p < 0.01) in Group A on 2nd & 3rd day. The postoperative mouth opening was more from the 2nd day in group A with mean of 26.07 mm and 20.33 mm in group B (p < 0.01). Conclusion The kinesiologic taping originates from sports medicine, but can also used therapeutically for reducing post operative sequelae as demonstrated in our study. Kinesiologic tape (KT) enables patients to have a comfortable time post-operatively and helps to regain better quality of life. Trial registration Registered in Clinical Trial Registry—India. Registration number—CTRI/2021/05/033359, registration date – 04/05/2021

Efficacy of Lignocaine Hydrochloride with Adrenaline, Clonidine and Dexmedetomidine for Surgical Removal of Impacted Mandibular Third Molar: A Research Protocol for a Randomised Clinical Trial

Introduction: In human dentition, the most common impacted teeth are Mandibular Third Molars (M3M). Removal or extraction of these teeth leads to anxiety in the patients oweing to the perception of pain. Thus, pain control mechanism like anaesthesia needs to be executed appropriately. Using newer local anaesthetic drugs minimises side effects and drug interactions. Adrenaline is traditionally used vasoconstrictor along with Lignocaine. Dexmedetomidine and Clonidine are alpha agonists which in combination with Lignocaine provide a prolonged duration of anaesthesia thus decreasing the need for rescue analgesics. Need for the study: This research will assist in assessing and establishing the duration of anaesthesia and postoperative analgesia after the administration lignocaine hydrochloride with adrenaline, clonidine and dexmedetomidine in third molar surgery. This will eventually lead to less consumption of analgesics owing to the delay in ingestion of rescue analgesics. Aim: To evaluate and compare the safety and efficacy of adrenaline, clonidine and Dexmedetomidine as an adjuvant to lignocaine hydrochloride for perineural inferior alveolar nerve block in cases of IM3M surgeries. Materials and Methods: This is a prospective, triple blind, randomised, controlled, parallel arm study. The study will be conducted at the Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Sawangi (M), Wardha from February 2023 to June 2024. A total of 45 consecutive systemically healthy patients requiring unilateral surgical extraction of impacted M3M with similar orientations will be divided into three groups randomly. The first group will receive lignocaine with adrenaline, the second group will receive lignocaine with clonidine and third group will receive lignocaine with dexmedetomidine during the extraction procedure which will be compared on following parameters the onset of anaesthesia, depth of anaesthesia, haemodynamic parameters and duration of postoperative analgesia. ‘One-way ANOVA’ will be used to analyse and evaluate.

Displacement of lower third molar into the lateral pharyngeal space in a case of mandibular angle fracture: An unusual complication

Fracture of the angle of the mandible accounts for nearly one-third of all fractures involved. The presence of lower third molar increases the risk of fracture in angle region. The third molar acts as an area of weakness leading to fracture lines passing medially, distally, and occasionally through it. Angle fracture leads to the mobility of the third molar and sometimes its displacement. Third molars maintain its position in favorable fracture and can be displaced in unfavorable fractures. Displacement of lower third molar in lateral pharyngeal space due to mandibular fracture is not seen commonly. To our knowledge, this is the first reported incidence of displacement of the third molar into lateral pharyngeal space in a case of mandibular fracture

Schwannoma of the Tongue in a Paediatric Patient: A Case Report and 20-Year Review

Schwannomas (Neurilemmomas) are benign, encapsulated, slow-growing, and usually solitary tumours originating from Schwann cells of the peripheral nerve sheath with uncertain etiology. Approximately 25–48% of cases are seen in the head and neck region, of which 1% appears in the oral cavity. Lingual schwannoma can affect all age groups with peak incidence between the third and sixth decade. We report a rare case of lingual schwannoma in a 14-year-old girl complaining of asymptomatic swelling over lateral border of tongue since two years. Clinical examination revealed a nodule 1.5×1 cm in size, rubbery, nontender, smooth at right lateral border of tongue covered by normal mucosa, with no cervical lymphadenopathy. Excisional biopsy of the lesion was done under local anaesthesia. The histological sections spindle cells with thin wavy nuclei arranged as typical Antoni A (with Verocay bodies) and Antoni B areas. Nuclear palisading distribution (typical of a schwannoma) was readily identifiable. The patient was recurrence-free after one year

Does Hamulotomy during Palatoplasty Have Any Effect on Hearing Ability in Nonsyndromic Cleft Palate Patients? A Prospective, Single Blind, Comparative Study

The primary goal of palatoplasty is to achieve a tension-free palatal closure ensuring no postoperative complications. Many surgeons fracture the pterygoid hamulus to minimize tension during palatoplasty. However, this maneuver gained criticism by some authors on the grounds that it may lead to Eustachian Tube dysfunction. Our study intended to figure out the relationship of hamulus fracture with the postoperative state of middle ear in cleft palate children. Fifty consecutive cleft palate patients with an age range of 10 months to 5 years were recruited. All the patients were assigned to either hamulotomy or nonhamulotomy group preoperatively. The patients were subjected to otoscopic examination and auditory function evaluation by brainstem evoked response audiometry (BERA) preoperatively and 1 month and 6 months postoperatively. Otoscopy revealed that the difference in the improvement of middle ear status in both groups was statistically insignificant. Moreover, there was no significant difference in the BERA outcomes of the fracture and nonfracture populations. Complication rate in both groups was also statistically not significant. It can be concluded that hamulotomy does not have any effect on the hearing ability in cleft palate population, so hamulotomy can be performed for tension-free closure during palatoplasty