Spontaneous Reversibility of an Iatrogenic Orthodontic Elastic Band-induced Localized Periodontitis Following Surgical Intervention – Case Report

Orthodontic elastic bands are an important iatrogenic etiologic factor in the causation of periodontal attachment apparatus breakdown. Appropriate diagnosis and a well constructed treatment plan tailor-made to suit the requirements of the particular patient is imperative for management of periodontal lesions induced by subgingival retention of rubber band. There are conflicting reports regarding the reattachment and regeneration of lost periodontal supporting tissues in such cases. The present case report highlights the spontaneous reversal and correction of periodontal destruction due to iatrogenic orthodontic elastic band displacement deep into the subgingival tissues

assessment of the efficacy of tmj arthroscopy-assisted masseter nerve avulsion on hemimasticatory spasm: An original research

The goal of this study is to find a cure for the masticatory muscle disease known as hemimasticatory spasm (HMS). This retrospective investigation intends to find a more efficient therapeutic approach for HMS patients by examining the clinical effectiveness of masseteric nerve avulsion performed on HMS using a temporomandibular arthroscope. A clinical study was piloted where the subjects were treated for masseter nerve avulsion by TMJ arthroscopy. The follow-up was done till 2 years, and the subjects were evaluated for the various characteristics like difficulties, masticatory abilities, and various sounds at the joint for the various functions of the joint. The diagnosis was done using the electrophysiological electromyogram (EMG) at the designated time intervals. There was a complete remission in all the subjects. The masseter nerve avulsion was effective since the scores lowered. Within 3 years of the operation, electrophysiological EMG depicted no discharge potential with a high frequency, and the total efficiency when paired with the clinical effectiveness was deemed acceptable. The maximal masseter power between the treated and nontreated sides was comparable. The mastication, on comparing, was also as effective as the normal side; however, lower mastication was noted in the first year. The avulsed nerve tissues lacked any apparent demyelination. Masseteric nerve avulsion with temporomandibular arthroscope assistance provided acceptable and stable total effectiveness for the intervention of the hemimasticatory spasm. While the strength of the muscle of the afflicted side was only marginally reduced, its masticatory effectiveness was optimally preserved

Role of intravascular methylprednisolone in surgical impaction: An original research

Introduction: Mandibular impacted third molar surgical extraction may cause pain, trismus and swelling. Hence in this study we aim to evaluate the effect of methylprednisolone injection into the muscles on pain edema and trismus post third molar impaction. Material and Methods: We injected methylprednisolone acetate into the masseter muscle via the intrabuccal approach, one hour before the surgery and immediately after suturing of the surgical wound, among the 100 subjects divided to two groups as case and controls, we evaluated postoperative pain, trismus and swelling. The numeric pain scale (NPS) was used for pain assessment. Results: we observed that superior results in preoperative group for mouth opening, pain and all the facial swelling parameters, they were also statistically significant differences than when the postoperatively administered methylprednisolone acetate. Conclusions: Preoperative administration of the methylprednisolone is more effective in reducing pain, trismus and swelling, when compared to that administered postoperatively

Efficacy of vazirani akinosi and gow gates technique in inferior alveolar nerve block: A comparative study

Aim: The purpose of this study is to evaluate the onset of anesthesia, anesthetic success and incidence of positive aspiration during administration of local anesthetic solution using the Vazirani Akinosi and Gow Gates techniques. Methodology: The study involves 100 subjects, divided into two different groups of 50 subjects each receiving Gow Gates, Vazirani Akinosi  nerve blocks. The onset of anesthesia, positive aspiration and anesthetic success was evaluated. Results: In Vazirani Akinosi technique group, patients showed highest anesthetic success of 95.71%; there was a significant difference seen between the Gow Gates and Vazirani Akinosi techniques (p = 0.0241). The mean value of the onset of anesthesia in Gow Gates technique showed the longest 343.71 ± 153.20 s and in Vazirani Akinosi technique it was 192.86 ± 61.20 s. Conclusion: The Vazirani Akinosi technique was found to be significantly better than GG techniques with respect to both onset and success of anesthesia

Impact of the habit of alcohol consumption on the success of the implants: A retrospective study

Introduction: A recent study has demonstrated that social factors have an impact on the condition of dental implants. The present investigation investigated how varied alcohol intake quantities might alter the condition of dental implants and related peri-implant inflammation. Materials and Methods: This retrospective research was piloted in a tertiary care center, and implants inserted between 2010 and 2022 were evaluated through a retrospective cohort analysis. Within 3 months following implant implantation, information on alcohol intake was gathered from the health maintenance records and employed as the predictor variable. The implant results as well as peri-implantitis were examined at follow-up visits. Using the logistic regression model, the Wald test analysis analyzed the statistical consequences of each parameter. The findings were translated using an odds ratio that was determined with a 95% confidence level. The data were generated and analyzed using descriptive statistics, with statistical significance defined as P < 0.05. Results: At the time of implant placement, the enrolled patients were 59 ± 11.3 years old on average. The median time before peri-implantitis occurred was 31.3 ± 22.2 months. Within the first 2 years following implant implantation, the majority of people experienced peri-implantitis. The incidence of peri-implantitis was the lowest among light and moderate alcoholics (11.5%) and the highest among heavy alcoholics (46.2%). Moderate alcohol use was associated with a 79.1% decrease in peri-implantitis when compared to not drinking (P = 0.0365), whereas light alcohol consumption was connected to a 51.3% decrease (P = 0.026). The incidence of peri-implantitis among heavy drinkers was significantly significant (P = 0.0001). Conclusion: According to the findings of the current retrospective cohort analysis, drinking alcohol at mild-to-moderate levels is connected to a reduction in the incidence rate of peri-implantitis compared to heavy drinkers. In contrast, high alcohol consumption was found to be associated with an increase in the prevalence of peri-implantitis among the participants who had dental implants