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Journal of Maxillofacial and Oral Surgery

Manal Khan, Anshul Rai, Anuj Jain
No abstract text is available yet for this article.
June 2018: Journal of Maxillofacial and Oral Surgery
Philip Mathew, P Varun Menon
Background: In orofacial cleft deformity cases, bone grafting is a very essential step in reconstruction of the residual alveolar cleft defect. Material and Methods: Though various authors have put forth different techniques and graft sources for alveolar bone grafting, at our center, we have used iliac crest as the graft source and cortical bone graft with GTR membrane as "ceiling effect". Results: We have evaluated a series of cases of secondary alveolar bone grafting done with this technique by same surgeon at our center and have found great success...
June 2018: Journal of Maxillofacial and Oral Surgery
Sanjay Gottipamula, Sudarson Sundarrajan, Aditya Moorthy, Sriram Padmanabhan, K N Sridhar
Introduction: Oral submucosal fibrosis (OSMF) is a chronic debilitating fibrotic disease of the oral cavity and is a serious health hazard in south Asia and, increasingly, the rest of the world. The molecular basis behind various treatment modalities to treat OSMF still remains unclear. In this study, we have investigated the in vitro ability of the buccal mucosal cells to reduce the proliferation of the fibroblasts of the fibrotic area in co-culture of cells and also at the molecular levels to reduce the level of connective tissue growth factor (CTGF) in the OSMF fibroblasts (SMF-F)...
June 2018: Journal of Maxillofacial and Oral Surgery
Nandakishore Sahoo, Dibyajyoti Boruah, Ankur Thakral, Rahul Kumar, Indranil Deb Roy
Background: Temporomandibular joint (TMJ) ankylosis is one of the most disruptive maladies afflicting the masticatory system. The characteristic feature is the formation of bony mass bridging condyle with glenoid fossa. The exact pathogenesis is, however, not completely understood. Purpose: To investigate and compare histomorphometric features of ankylosed condylar specimen with normal condylar process. Materials and Methods: Group I included 17 post-traumatic unilateral TMJ ankylosis patients managed by excision of ankylosed mass and interpositional arthroplasty...
June 2018: Journal of Maxillofacial and Oral Surgery
Sonali Ghai, Sankarsan Choudhury
Objectives: Pre-operative radiographic evaluation of impacted mandibular third molar and inferior alveolar canal (IAC) is important in preventing a possible nerve exposure and damage during surgical removal. The present study analysed the relation of the mandibular third molar with inferior alveolar canal using panoramic radiography (PAN) and cone beam CT (CBCT) and evaluated the radiographic features suggestive of IAN exposure and post-operative paresthesia. Materials and Methods: PAN and CBCT findings of 53 impacted mandibular third molars having a close relation with IAC undergoing extraction were analysed...
June 2018: Journal of Maxillofacial and Oral Surgery
Abhishek Budharapu, Ramen Sinha, David P Tauro, Prabhat K Tiwari
Aims: The aim of this study was to evaluate cephalometrically the stability of hard tissues and soft tissue changes of advancement genioplasty 2 years after surgery. Methods: A prospective study was conducted which comprised of 25 patients, who underwent advancement genioplasty alone with no other orthognathic surgical procedures. Immediate pre-operative, 6 months postoperative, and 2 years postoperative lateral cephalograms were compiled and assessed. Results: The mean surgical advancement planned was around 8 mm...
June 2018: Journal of Maxillofacial and Oral Surgery
Raúl González-García, Manuel Moreno-Sánchez, Carlos Moreno-García, Leticia Román-Romero, Florencio Monje
Objective: Arthroscopy of the temporomandibular joint (TMJ) has become a well-standardized non-invasive procedure for the treatment of TMJ internal derangement (ID). Since the last 1980s, no clinical application for arthroscopy of the inferior compartment has been established because of the intrinsic difficulty of the technique and the believing of the absence of clinical relevance for treatment of ID. Methods: We report on a particular case in which arthroscopy of the inferior joint compartment together with the examination of the upper joint space was performed in a patient with ID of the TMJ...
June 2018: Journal of Maxillofacial and Oral Surgery
J M García Y Sánchez, C L Gómez Rodríguez, G Pacheco Rubio
Summary: Based on the new concepts of the modified Le Fort III osteotomy (MLFIIIO), Three variations of this technique are implemented: (A) the modified osteotomy Le Fort III Champy (1980) technique to be described with the use of surgical guides, and subciliary approach or an transconjunctival approach. Excellent technique for horizontal advancement no further to 6 mm, without requiring any type of graft.. (B) The modified Le Fort III osteotomy in "Z": to solve horizontal (posterior anterior) problems of more than 6 mm without bone grafting...
June 2018: Journal of Maxillofacial and Oral Surgery
Yashmeet Kaur Sandhu, Sarfaraz Padda, Tejinder Kaur, Amit Dhawan, Sarika Kapila, Jasmine Kaur
Introduction: Maxillomandibular fixation is required in nearly all cases of facial fractures which can be achieved by conventional dental wiring techniques or newer methods using transalveolar screws. Material and Methods: A prospective randomized clinical study divided into two groups with thirty adult patients each with mandibular fractures was undertaken comparing the Maxillomandibular fixation technique using transalveolar screws and Erichs arch bar. Total time taken, rate of glove perforation, intraoperative and postoperative complications were noted in both the groups...
June 2018: Journal of Maxillofacial and Oral Surgery
Shoaib Parkar, Mueedul Islam, Ramakrishna Tangaturi, Hari Keerthy Panthala, Azhar Khan, Mohammed Imran, Jayesh Anand
Objective: This study was conducted to compare the efficacy of Obwegeser's pterygoid osteotome and Laster shark-fin osteotome by measurement of strain adjacent to the pterygomaxillary suture and the amount of force required for dysjunction. Materials and Methods: Two popular instruments Obwegesser's pterygoid and shark-fin osteotome were tested on dry human skulls. The external force required for separation of the pterygomaxillary suture with these osteotomes was generated by an electronically controlled 'Instron' tester Bi-06-108...
June 2018: Journal of Maxillofacial and Oral Surgery
Vishal Bansal, Deval Kumar, Apoorva Mowar, Avi Bansal
Introduction: The aim of this study was to evaluate the efficacy, safety and clinical acceptability of the local anaesthetic agent ropivacaine 0.75 % in comparison with lignocaine 2 % with adrenaline 1:200,000 in minor oral surgical procedures. Methods: Forty-seven patients, who required bilateral extractions in a single arch, were included in this study. One hundred and sixty-six extractions were performed and all the patients were administered nerve blocks/infiltration...
June 2018: Journal of Maxillofacial and Oral Surgery
Vicky Kang, Alvaro A Figueroa, Russell R Reid
The prevention of scar contracture after surgery is an important aspect of lateral facial cleft repair. Maintaining adequate mouth opening is essential for speech, expression, chewing, oral hygiene and psychosocial well-being. Although there have been extensive reviews of non-surgical microstomia management in patients with oral electrical burns, there have been no reports on the use of oral commissure splints to manage the surgical scar in patients with lateral facial clefts. The case study presented here will demonstrate the clinical use of cheek retractors to provide physical resistance to scar contracture...
June 2018: Journal of Maxillofacial and Oral Surgery
Venkatesh Anehosur, K Harish
Management of orbital floor fracture remains the most debated topic in maxillofacial field. There are many approaches to reconstruct orbital floor fractures and restore orbital position and function, but many have the drawback of incomplete visualization, especially of the posterior part of the orbit. Pain, diplopia and enophthalmos are the most common presenting symptoms in patients who sustained orbital blow out fracture. The main aim in treating orbital fracture is to reduce the prolapsed orbital tissue and reconstruct the floor which will improve diplopia and enophthalmos...
June 2018: Journal of Maxillofacial and Oral Surgery
Manikandhan Ramanathan, Sivapathasundharam Balasundharam, Amelia Christabel, Preethi Murali, Sneha Pandem
Aim: To present the case of a simultaneously occuring sublingual dermoid cyst with respiratory epthelium and a submental dermoid cyst, and also to review literatures on the same. Methods: A complete examination, radiograph, MRI and excision biopsy of both lesions were carried out and diagnosis was arrived at histopathologically. Results: The histopathology of the submental swelling revealed orthokeratinized stratified squamous epithelium with underlying connective tissue consisting of dense irregularly arranged collagen fibres with fibroblasts along with chronic inflammatory cell infiltrate of lymphocytes and plasma cells...
June 2018: Journal of Maxillofacial and Oral Surgery
Ashwant Kumar Vadepally, Ramen Sinha
Aim: To investigate the perception of Oral and maxillofacial surgery by healthcare professionals, students and general public. Materials and Methods: A questionnaire form was created that listed ten clinical situations, and given by hand to 1200 individuals, divided into six groups: group 1, medical professionals; group 2, Specialties of dentistry; group 3, general dentists; group 4, medical students; group 5, dental students; and group 6, general public, each comprising 200 individuals...
June 2018: Journal of Maxillofacial and Oral Surgery
Colonel Priya Jeyaraj
Introduction: Despite the improvement in surgical techniques in cleft palate surgery, oronasal fistulas continue to remain a challenge, usually the result of residual palatal and alveolar clefts and post-palatoplasty defects. The tongue flap is an extremely versatile, sturdy, reliable and efficient means of closure of anterior as well as posterior, unilateral and bilateral palatal defects, effectively functionally obliterating the oronasal communication, owing much of its success to its highly vascular structure, good mobility, texture match, central location and low donor site morbidity...
June 2018: Journal of Maxillofacial and Oral Surgery
Luciana Domingues Conceição, Isadora Augusta da Silveira, Gustavo Giacomelli Nascimento, Rafael Guerra Lund, Ricardo Henrique Alves da Silva, Fábio Renato Manzolli Leite
Aim: The etiology and epidemiology of maxillofacial injuries varies widely in different regions of the world due to socioeconomic status, cultural aspects in addition to road traffic and drug consumption. The aim of this study is to determine major causes and epidemiological characteristics of maxillofacial trauma in a 5-year period. Materials and methods: Reports of corporal trauma (n = 25,632) from 2007 to 2011 in the Department of Forensic Medicine were analyzed as to the presence of maxillofacial injuries...
June 2018: Journal of Maxillofacial and Oral Surgery
K O Bang, P K Pandilwar, S R Shenoi, N J Budhraja, P Ingole, V S Kolte, A Garg
Purpose: To determine whether retention or removal of teeth in line of mandibular fractures affects the incidence of postoperative complications. To evaluate the fate of teeth retained in mandibular fractures based on location of fracture line in relation to apical foramen and lateral periodontium of retained tooth. Method: 51 mandibular fracture sites in 39 patients were treated by open reduction and internal fixation using miniplates. Teeth in line of fracture were removed if showed extensive caries, excessive mobility of tooth, or root fracture...
June 2018: Journal of Maxillofacial and Oral Surgery
Rajarshi Ghosh, K Gopalkrishnan, Jawahar Anand
Aims and Objectives: The aim of the study is to retrospectively analyse the incidence of facial fractures along with age, gender predilection, etiology, commonest site, associated dental injuries and any complications of paediatric patients operated in Craniofacial unit of SDM college of dental sciences and hospital. Materials and Methods: This retrospective study was conducted at the department of OMFS, SDM College of Dental Sciences, Dharwad from January 2003-December 2013...
June 2018: Journal of Maxillofacial and Oral Surgery
Mohammad Bayat, Mahsa Shariati, Fatemeh Rajaeirad, Mir Saeed Yekaninejad, Fatemeh Momen-Heravi, Zeinab Davoudmanesh
Introduction: Facial anthropometric measurement is considered an essential concern of surgeons, orthodontists, artists and forensic scientists. The aim of this study is to investigate facial anthropometric norms of the young Iranian population. Methods: The study participants consisted of 200 healthy Iranian students (100 males, 100 females) aged 18-25 years old. Twenty-three liner and four angular measurements were investigated twice by a dentist. Independent-samples t test was used to compare indices between males and females and also between countries...
June 2018: Journal of Maxillofacial and Oral Surgery
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