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National Journal of Maxillofacial Surgery
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   2010| January-June  | Volume 1 | Issue 1  
    Online since September 9, 2010

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Arteriovenous malformation of mandible: Extracorporeal curettage with immediate replantation technique
Virendra Singh, Pramod Kumar Bhardwaj
January-June 2010, 1(1):45-49
DOI:10.4103/0975-5950.69168  PMID:22442550
Arteriovenous malformations of jaw are extremely rare conditions that can result in disastrous complications, if handled carelessly. Although various treatment modalities have been advocated in the literature, there seems to be no complete consensus on a suitable treatment in these cases. This report highlights the importance of correct diagnosis and early treatment in management of vascular malformations. Extracorporeal curettage followed by immediate replantation yielded good results in our case and this technique can emerge as a valid alternative, especially in developing countries.
  23,609 604 2
A critical review of the implication of nanotechnology in modern dental practice
Sanjeev Kumar Verma, KC Prabhat, Lata Goyal, Manita Rani, Amit Jain
January-June 2010, 1(1):41-44
DOI:10.4103/0975-5950.69166  PMID:22442549
Curiosity has its own reason for existing. For thousands of years, mankind has been harnessing its curiosity into inquiry and the process of scientific methodology. If we consider technology as an engine, then science is its fuel. Science of miniaturization (nanotechnology) is manipulating matter at nanometer level and the application of the same to medicine is called nanomedicine. Nanotechnology holds promise for advanced diagnostics, targeted drug delivery, and biosensors. When we gain access to hold the nanorobots, we will be able to treat very rapidly a number of diseases that are a continuous threat for mankind today. The present article aims to provide an early glimpse on the impact and future implication of nanotechnology in dentistry, especially in oral surgery and orthodontics.
  9,713 1,690 2
Unusual causes of reduced mouth opening and it's suitable surgical management: Our experience
Sunil Kumar Gupta, Amar S Rana, Deepak Gupta, Gaurav Jain, Puneet Kalra
January-June 2010, 1(1):86-90
DOI:10.4103/0975-5950.69150  PMID:22442560
Reduced mouth opening is a common clinical problem and many individuals experience it at least once in his or her life and most dental practitioners see patients with restricted mouth opening quite often. It can occur due to a variety of underlying conditions which may involve complex factors. Hence, it is essential for the clinician to thoroughly investigate and examine these cases for proper diagnosis and its appropriate management.
  10,093 715 2
Role of oral health professional in pediatric obstructive sleep apnea
Sanjeev Kumar Verma, Sandhya Maheshwari, Naresh Kumar Sharma, KC Prabhat
January-June 2010, 1(1):35-40
DOI:10.4103/0975-5950.69162  PMID:22442548
Sleep disordered breathing (SDB) in children is common. The impact of SDB on the growth and development of child may have detrimental effects on health, neuropsychological development, quality of life, and economic potential; therefore, SDB in children should be recognized as a public health problem as in the adult population. The coexistence of obesity and obstructive sleep apnea (OSA) not only appears to yield increased morbidity rates and poorer responses to therapy, but also is altogether associated with a distinct and recognizable clinical phenotype. Therapeutic options have somewhat expanded since the initial treatment approaches were conducted, to include not only surgical extraction of hypertrophic adenoids and tonsils, but also nonsurgical alternatives such as continuous positive air pressure, anti-inflammatory agents and oral appliances (OAs). Now, American academy of sleep medicine (AAOSM) has recommended OAs for OSA, hence the therapeutic interventions that are directed at the site of airway obstruction in the maxillofacial region are within the scope of dentistry. Among the physicians treating the children, dentists are more likely to identify adenotonsillar hypertrophy. Hence, the dentist can play an important role in identifying and treating those cases with OAs, who refuse the surgery, or those with structural abnormality in which myofunctional appliances are beneficial.
  8,744 871 2
Temporary anchorage devices -Mini-implants
Kamlesh Singh, Deepak Kumar, Raj Kumar Jaiswal, Amol Bansal
January-June 2010, 1(1):30-34
DOI:10.4103/0975-5950.69160  PMID:22442547
Orthodontists are accustomed to using teeth and auxiliary appliances, both intraoral and extraoral, to control anchorage. These methods are limited in that it is often difficult to achieve results commensurate with our idealistic goals. Recently, a number of case reports have appeared in the orthodontic literature documenting the possibility of overcoming anchorage limitations via the use of temporary anchorage devices-biocompatible devices fixed to bone for the purpose of moving teeth, with the devices being subsequently removed after treatment. Although skeletal anchorage is here to stay in orthodontics, there are still many unanswered questions. This article describes the development of skeletal anchorage and provides an overview of the use of implants for orthodontic anchorage.
  6,894 1,370 4
Buccal fat pad versus sandwich graft for treatment of oroantral defects: A comparison
Hariram , US Pal, Shadab Mohammad, RK Singh, Gaurav Singh, Laxman R Malkunje
January-June 2010, 1(1):6-14
DOI:10.4103/0975-5950.69148  PMID:22442542
Aim : To compare the efficacy of buccal fat pad (BFP) graft with sandwich graft (hydroxyapatite crystals embedded within collagen sheath) in closure of oroantral defects. Materials and Methods: A 2-year prospective study was conducted; 20 patients were included in the study were divided into two groups having 10 patients in each. Group I patients underwent surgical closure of oroantral fistula with sandwich graft and Group II patients with buccal pad of fat. Results: In Group I, the mean pain scores were 7.60 ± 0.84, 3.90 ± 1.10, 2.30 ± 1.16, 1.10 ± 0.99 and 0.40 ± 0.70 at immediate post-op., 1, 3, 6 and 12 week time intervals, respectively, whereas in Group II these were 7.30 ± 0.67, 3.50 ± 0.53, 1.70 ± 0.48, 1.00 ± 0.47 and 0.30 ± 0.48, respectively, at the corresponding time intervals. In Group I, swelling was seen to be present in 10 (100%), 7 (70%), 2 (20%) and nil (0%) patients at 1, 3, 6 and 12 weeks, respectively, whereas in Group II, it was seen to be present in 10 (100%), 10 (100%), 2 (20%) and nil (0%) patients at the corresponding time intervals. At 1 week, infection was seen to be present in 1 (10%) patient of Group I and 2 (20%) patients of Group II. At 3 and 6 weeks, infection was seen to be present in 1 (10%) patient of Group I and none of the patients of group II. No radiologic evidence of bone formation was seen in either group up to 1 week. At 3 week interval, there were 6 (60%) patients in Group I and nil (0%) in Group II showing bone formation, thus showing a statistically significant difference between the two groups. By 6 week time interval, radiologic evidence of bone formation was seen in 9 (90%) patients of Group I but in no patients of Group II, thereby showing a statistically very highly significant (P < 0.001) difference between the two groups. In Group I, in 1 (10%) patient, graft was rejected by first week; however, no further graft rejection took place. In Group II, no case of graft rejection was reported. Conclusions: The sandwich graft technique yielded a more promising closure of oroantral communication by provision of a more biologically apt base in terms of regeneration of lost bone structure at the floor of the maxillary sinus
  7,057 930 8
Comparison of octyl-2-cyanoacrylate and conventional sutures in facial skin closure
DM Shivamurthy, Sourav Singh, Sasidhar Reddy
January-June 2010, 1(1):15-19
DOI:10.4103/0975-5950.69151  PMID:22442543
Introduction : Closure of wounds to achieve an esthetically pleasing result has always been a challenge. Since time immemorial, surgeons have strived to produce "invisible scars". This, however, has always been elusive. The introduction of tissue adhesives heralded the era of suture free closures which led to better results. Aims and Objectives: The aim of this study is to compare the efficacy of octyl- 2-cyanoacrylate with that of the conventional sutures, in facial skin closure. Results and Conclusion: The use of octyl-2-cyanoacrylate offers many advantages such as rapidity and ease of application and superior results.
  6,496 909 10
Medpore versus osseous augmentation in genioplasty procedure: A comparison
Shadab Mohammad, Chandra Dhar Dwivedi, RK Singh, Vibha Singh, US Pal
January-June 2010, 1(1):1-5
DOI:10.4103/0975-5950.69147  PMID:22442541
Background : Genioplasty deals with small area of craniofacial complex, namely, chin. Alloplastic chin implants and sliding genioplasty represent the two currently accepted methods of chin augmentation. Chin augmentation with medpore has become popular in the recent years. Material and Methods: The study comprised 16 patients having retruded chin, out of whom 8 patients underwent sliding genioplasty while the other 8 underwent chin augmentation using medpore. The versatility and benefits of the two techniques are discussed. Result and Conclusion: All the patients achieved satisfactory results with no complication. Both the techniques can be used for mild to moderate retrogenia, while in the case of severe retrogenia, sliding genioplasty is recommended. Medpore is especially used for revision of chin shape. Medpore can give the same satisfactory result as osseous genioplasty in cases of mild to moderate horizontal chin deficiency. All the patients from both the groups showed significant improvement in facial profile and high degree of satisfaction resulting in improved self-esteem.
  6,452 830 4
Submental intubation: A useful adjunct in panfacial trauma
Abhishek Vashishta, Sunil Sharma, Ankita Chugh, Dinesh Jain, Nishant Gupta, Urvashi Bihani
January-June 2010, 1(1):74-77
DOI:10.4103/0975-5950.69159  PMID:22442557
Complex maxillofacial trauma requires a modification of intubation as it precludes both oral and nasal intubation. Tracheostomy is not preferred due to its associated complications. Submental intubation comes as a rescue in such situations as it provides an uninterrupted access to the operative field with due control over airway and minimal side effects.
  6,103 647 2
Interdisciplinary approach to palatally impacted canine
Ashish Goel, Anju Loomba, Poonam Goel, Naresh Sharma
January-June 2010, 1(1):53-57
DOI:10.4103/0975-5950.69169  PMID:22442552
Interdisciplinary approach for the management of malocclusion provides a holistic approach of patient management. Prudent treatment planning is necessary to achieve the various treatment goals. The article highlights the salient features and various surgical and orthodontic considerations to approach cases with impacted canines. It is exemplified with a case in which a palatally impacted canine and a highly placed canine in the buccal vestibule have been surgically intervened and orthodontically extruded with sequential traction and aligned in the arch.
  5,286 755 1
Cystic hygroma
Naresh Kumar, Munish Kohli, Saumya Pandey, S.P.S. Tulsi
January-June 2010, 1(1):81-85
DOI:10.4103/0975-5950.69152  PMID:22442559
Surgical management of cystic hygroma is very challenging since it has a thin wall consisting of endothelium which can easily be torn during its enucleation leading to recurrence. The other treatment options are intralesional injection of OK-432, triamcinolone followed by surgical excision, if necessary, injection of sclerosing agents, repeated aspiration, radiotherapy and finally spontaneous regression without any form of treatment. This is a case report of cystic hygroma of parotid region where regression occurred without any form of treatment.
  5,331 677 4
Gorlin-Goltz syndrome with situs oppositus
Yadavalli Guruprasad, Prashanth R Prabhu
January-June 2010, 1(1):58-62
DOI:10.4103/0975-5950.69167  PMID:22442553
Gorlin-Goltz syndrome, also known as nevoid basal cell carcicoma syndrome, is caused due to a genetic alteration produced by a mutation in the "Patched" tumor suppressor gene, and it is inherited in a dominant autosomal way, though sporadic cases have been found. This syndrome shows a high penetrance and variable expressiveness. It is a multisystemic process that is characterized by the presence of multiple pigmented basocellular carcinomas, keratocysts in the jaws, palmar and/or plantar pits and calcification of the falx cerebri. Together with these major features, a great number of processes considered as minor features have also been described. The latter include numerous skeletal, dermatology related and neurological anomalies, among others. In some occasions, the presence of very aggressive basocellular carcinomas has been described as well as other malignant neoplasia. Due to the importance of oral maxillofacial manifestations of this syndrome, it is fundamental to know its characteristics in order to make a diagnosis, to provide an early preventive treatment and to establish right genetic advice. We report a rare association of Gorlin-Goltz syndrome with situs oppositus.
  5,571 394 1
A feeding appliance for a newborn baby with cleft lip and palate
Abhay Agarwal, Vivek Rana, Shabina Shafi
January-June 2010, 1(1):91-93
DOI:10.4103/0975-5950.69149  PMID:22442561
A child born with cleft lip and palate may experience difficulties while feeding. Obtaining a good seal of the oral cavity can be difficult due to the incomplete facial and palatal structures. Nasal regurgitation and choking are common in infants with cleft palate because of inability of the palate to separate the nasal and oral cavities. The case presented here is a 3-day-old neonate born with cleft lip and palate, assisted with a new feeding appliance made with ethylene vinyl acetate using pressure moulding technique in biostar machine for proper feeding.
  4,729 818 2
Role of surgical stents in determining the position of implants
US Pal, Pooran Chand, Neeraj Kumar Dhiman, RK Singh, Vimlesh Kumar
January-June 2010, 1(1):20-23
DOI:10.4103/0975-5950.69153  PMID:22442544
Aim : Demand from implant patients for quality and efficient treatment is increasing. Fortunately dental implant treatment is evolving with patients expectations . Materials and Methods: The study comprised of 45 patients for whom 89 implants were placed at different sites. Efficacy of the stents is evaluated in determining the position and diameter of the implants. Conclusion: this study shows the extreme accuracy of this surgical stents in implant installation in terms of position and diameter.
  4,757 756 -
Gorlin-Goltz syndrome
Munish Kohli, Monica Kohli, Naresh Sharma, Saif Rauf Siddiqui, S.P.S. Tulsi
January-June 2010, 1(1):50-52
DOI:10.4103/0975-5950.69171  PMID:22442551
Gorlin-Goltz syndrome is an inherited autosomal dominant disorder with complete penetrance and extreme variable expressivity. The authors present a case of an 11-year-old girl with typical features of Gorlin-Goltz syndrome with special respect to medical and dental problems which include multiple bony cage deformities like spina bifida with scoliosis having convexity to the left side, presence of an infantile uterus and multiple odonogenic keratocysts in the maxillofacial region.
  4,126 492 4
Trigeminal neuralgia secondary to posterior fossa tumor
Mamta Agrawal, Vikrant Agrawal, Rajiv Agrawal, D.S.R. Pramod
January-June 2010, 1(1):71-73
DOI:10.4103/0975-5950.69161  PMID:22442556
Trigeminal neuralgia (TN) is by no means an uncommon entity presenting as typical or atypical pain syndrome with a standard treatment protocol consisting of medical and surgical therapies. The diagnosis of TN is mainly dependent on the characteristics of symptoms conveyed by the patient and the clinical presentation. Careful history taking, proper interpretation of the signs and symptoms and cranial nerve assessment are necessary for proper diagnosis. Here, we report a case of TN, treated for dental problems and then for neuralgia with only short-term relief. Subsequently, the patient underwent neuroimaging and was found to be having an uncommon space-occupying lesion in the posterior cranial fossa.
  3,936 439 2
Bifid mandibular condyle: Report of two cases of varied etiology
Mohammad Faisal, Iqbal Ali, US Pal, Kalyan Bannerjee
January-June 2010, 1(1):78-80
DOI:10.4103/0975-5950.69156  PMID:22442558
Bifid condyle is a rare anatomic variation of mandibular condyle. It can be symptomatic or diagnosed incidentally on routine radiographic examination. No definite etiologic factor has been identified. It is suggested that bifid condyle could be a developmental anomaly or secondary to trauma. We are reporting two cases of bifid mandibular condyle. Both were diagnosed using computed tomography scan, which additionally revealed the associated pathosis in the angle of the mandible in first patient and the ankylosis of temporomandibular joint in the second patient.
  3,863 509 5
A new and easy technique for maxillomandibular fixation
Virendra Singh, Amrish Bhagol, Ish Kumar
January-June 2010, 1(1):24-25
DOI:10.4103/0975-5950.69155  PMID:22442545
Maxillomandibular fixation (MMF) is important in the treatment of maxillofacial fractures and is usually applied by wiring together the fixed upper and lower arch bars. Here, we report a new type of MMF technique, Rohtak Dental College (RDC) technique using 26-gauze stainless steel wires. It is a simple, quick, economical and minimally invasive technique. Its mechanical principle provides an advantage in preventing postoperative periodontal problems. Typical indications for its use are minimally displaced fractures, orthognathic surgeries and in tumor resection surgeries.
  3,390 865 3
Metastatic malignant melanoma of palate: A review of literature and report of an unusual case
Hari Ram, Shadab Mohammad, Nuzhat Husain, Seema Devi, Prem Narayan Gupta
January-June 2010, 1(1):63-66
DOI:10.4103/0975-5950.69165  PMID:22442554
Oral malignant melanoma is a rare tumor, accounting 0.8to 1.8 % of all oral malignancies. It occurs most commonly in Japanese and Negros. Radical surgery is mainstay of the treatment. Prognosis is very poor with 5 years survival rate. We present a case of malignant melanoma in a 55 years female, metastatizing to liver spleen and vertebrae.
  3,565 468 1
A rare case of odontome in a 65-year-old lady
Gokkulakrishnan , Sanjay Singh, Manpreet Singh, Kumar Tathagat Singh
January-June 2010, 1(1):67-70
DOI:10.4103/0975-5950.69163  PMID:22442555
Odontomes are considered to be hamartomas rather than a true neoplasm. They are comparatively common odontogenic tumors, and may lead to interference with eruption of associated tooth. Compound odontomes are commonly seen in young adults, but if they occur in children they are usually associated with permanent dentition and prevent eruption of the associated tooth. We hereby report a case of large compound odontome in the mandibular body region of a 65-year-old woman. Because of difficulty in denture fabrication and associated pain on mastication, surgical removal of the lesion was done.
  3,464 393 -
Endosseous dental implant vis-a-vis conservative management: Is it a dilemma?
Ramesh Chandra, Rhythm Bains, Kapil Loomba, US Pal, Hari Ram, Vivek K Bains
January-June 2010, 1(1):26-29
DOI:10.4103/0975-5950.69157  PMID:22442546
To overview the current prospective of endosseous dental implant and conservative management. Although emphasis has been made in reinstating the oral functions, less consideration has been given to formulate the best treatment tactics in a particular situation. Properly restored, root canal treated natural teeth surrounded by healthy periodontium tissues yield a very high longevity, and periodontally compromised teeth that are treated and maintained regularly may have longer survival rate. Current trends in implantology have weakened the conservative paradigm, and practitioner's objectivity has been inclined more toward providing the tooth substitutes often flaunted as equal or even superior to conservation of natural tooth
  2,756 518 -