口腔衛生症例報告

Oral lichen planus (OLP) is a chronic mucocutaneous disease with an unknown aetiology, affecting 0.5%-2% of the population and with a predilection for females in fourth to fifth decade of life. Most oral lichen planus lesions are asymptomatic but the atrophic and erosive forms of OLP can cause symptoms ranging from spontaneous soreness to severe pain interfering with eating, speech and swallowing. Various drugs have been used for the treatment of OLP including corticosteroids and other immunomodulators. However, no therapy is considered as the single most effective and without side effects in the management of this enigmatic disease. This is a case report of successful management of extensive, symptomatic multivariant OLP with a novel treatment with oral mini pulse (OMP) therapy.

Although the high predictability and long-term success rate of dental implants is well documented, complications and failures do occur. Some complications may be relatively minor and easy to correct, while others will be major and result in the loss of the implant or prosthesis. The aim of this paper is to discuss complications and failures of dental implants.

To compare the efficacy of combination of capsule. amoxicillin 500 mg with tablet. metronidazole 400 mg at 8 hrly interval with fixed dose combination of tablet. Ofloxacin (200 mg) + ornidazole (500 mg) at 12 hrly interval for 5 days in the treatment of dentoalveolar abscess. Materials and method: This comparative study included sample size of 160 patients recorded within 6 months and diagnosed clinically with dentoalveolar abscess visiting dental unit of Saveetha Medical college: in order to match the estimated sample size a few patients from Mohit private dental clinic, Valasaravakam were included. A standardized method for data collection and oral examination was followed. The patients were recruited to anyone of the two groups to which the investigator was blind. The treatment allotment code was kept confidentially with the treating dentist and only at the end of the study the code was broken and revealed to the investigator. The patients were advised to come for check up on the third day. In case if any problem arised before the advised visit, due to the condition or the therapy, the patients were informed to contact the treating dentist. Assessment of clinical improvement in swelling size, mouth opening, pain, lymph node condition and body temperature were carried out during the assessment visits on the third day and the fifth day. If clinical improvement was present- the patient was advised anyone of the following treatments that suited his/her clinical condition. The tooth was treated either by root canal treatment or extraction. The subject’s whose clinical condition was not improved on the third day was advised to take the prescribed medicine for two more days and to come for dental checkup on the fifth day. Results: The efficacy of both therapies was similar. No significant difference in adverse drug reaction. Patient compliance was in favour of ofloxacin and ornidazole group. Cost of fixed dose combination of ofloxacin and ornidazole therapy was slightly cheaper than amoxicillin and metronidazole. Conclusion: We conclude that the efficacy of both the therapies was similar with no significant difference in adverse drug reaction. The patient compliance was in favor of oflaxacin and ornidazole group of drugs which was relatively cheaper than amoxicillin and metronidazole.

The success of fixed prosthodontic treatment depends upon precision and accuracy in every step involved in the procedure. A very critical aspect of this is making accurate impressions in terms of dimensional accuracy, tear strength etc. The impression materials at the margins of the preparation require substantial thickness in order to resist distortion. This goal is in terms achieved by adequate gingival retraction. This paper focuses on the evaluation of three different gingival retraction methods namely retraction cord, Magic Foam Cord and Expasyl using width and depth of gingival sulcus as criteria.

Gorlin cyst or calcifying odontogenic cyst was first reported by Gorlin. It is a very rare lesion, affecting only 0.3% of diagnosed lesions of the jaws and less than 1% of all odontogenic cysts. Its pathogenesis remains unknown until the present day, although the hypothesis that develops from remnants of the odontogenic epithelium of the jaws is accepted.

This article aims to make a brief review of the literature and report a clinical case of COC in the region of maxilla attended at the service of surgery and buccomaxillofacial traumatology of the Hospital Municipal Lourenço Jorge, Rio de Janeiro. The treatment of choice in this case was enucleation and peripheral osteotomy; Weber-Ferguson approach was performed for this, given the location and extension of the lesion.