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Background: Removal of teeth causes pain, swelling, and difficulty in opening the mouth. The present study was conducted to assess pain experience after simple tooth extraction.Material & Methods:90 patients undergoing extraction of both genders were recorded. Pain assessment was recorded on the 10-mm NS (“No pain” to “Worst pain possible”). The character of pain was indicated (yes/no) using 4 descriptors according to the McGill Pain Questionnaire: constant pain, shooting pain, dull pain, and pain when chewing or biting.Results:Out of 90 patients, males were 40 and females were 50. Pain characters was constant in 30, shooting in 15, mild in 12, when chewing in 8 and none in 25 cases. The difference was significant (P< 0.05). Pain occurred in 52 chronically inflamed teeth and 38 grossly decayed teeth. The difference was significant (P< 0.05).Conclusions:Pain after tooth extraction is common and hence use of analgesics and anti- inflammatory is recommended.
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Aims & objectives The purpose of this study was to compare the effects of 4mgm inj dexamethasone IV intra operatively after ORIF on post operative oedema, pain & trismus in fracture mandible. Material & Method. THis prospective study included 162 cases of fracture mandible. Patients were divided into two groups randomly. Patients who received IV injection of 4 mgm Dexamethasone intraoperatively were study group (Group 1) & those who didn’t receive injections of Dexamethasone were categorised as controlled group (Group 11) with 81 patients each. Clinically mouth opening, swelling, infection pain, post operative discomfort were assessed on 2nd, 4th 7th, 10 day Th day followed by 4, 8 & 12 weeks time Result Pain ,Mouth Post operative oedema & other postoperative discomfort was significantly less in study group as compared to controlled group
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Third molar surgeries are most common procedures performed by oral and maxilla facial surgeon in his/her dental practice; however this procedure requires expertise and proper clinical diagnosis and planning, because of spectrum of complications that are associated with the removal of third molar teeth. Hence it’s Imperative that proper pre -surgical evaluation is needed and all surgical measures required are ascertained to avoid any nerve injury or other complications thereof, in this article Assessment of Nerve Injuries after Surgical Removal of Mandibular Third Molar is conducted in A Prospective Study.
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Objectives & Aims Canine impaction is one of the anomalies that should be considered by clinicians in detail. The aim of this study was to determine the incidence, prevalence, patterns & potential distribution of impacted maxillary canine teeth stratified by gender ,location (RT or LT) , unilateral or bilateral. This study also aims to evaluate the possible relationship between impacted Maxillary canines with large dentigerous cysts in maxilla Methods The study was carried out in the department of Oral & Maxillofacial surgery .patients were referred from oral medicine, radiology department with the symptom of swelling, pain, discharge or missing canines & retained deciduous canines. After examination of panoramic radiographs & clinical symptoms diagnosis was made, associated symptoms like pain, swelling, number, localization (RT/LT) age & sex, retained deciduous teeth, root resorption of adjacent teeth was also noted The included sample consisted of 100 patients diagnosed with canine impactions / transmigrated canines on clinical examination & panoramic radiographs. Age ranged from 18 to 50 years. 59.61% females 40.38% males. 60.22%maxilla,46.70% mandible.63.17% unilateral, 36.3% bilateral,. ConclusionThe early detection of impacted maxillary canine teeth is crucial for successful treatment, therefore demographic studies are important & should be managed to prevent complications.
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We aimed to investigate the prevalence of obesity in patients undergoing CABG, to assess in these patients the distribution of prognostic factors and the early outcomes after surgery. It was a perspective, observational and descriptive study, conducted at National Institute of Cardiovascular Diseases [NICVD] Karachi. All patients underwent first and elective CABG whether underwent on or off-pump were included. The prognostic variables noted were: age, gender. coronary risk profile, h/o prior myocardial infarction or unstable angina, cerebrovascular accident. The degree of obesity was assessed by BMI derived from Quetelet's formula i.e. Underweight [<20 kg/m2] Normal [> 20 and <25 kg/m], Overweight [> 25 and < 30kg/m2], Obese [> 30 and < 35 kg/m2] and Severely obese > 35 kg/m2. RESULTS: Total of 115 patients underwent CABG during the study period. Patients were classified as underweight 6 [5%]; as normal weight 57 [50.9%]; as overweight 38 [33.9%]; as obsess 5 [4.2%]; and as severely obese 6[5%]. Total obese patients were 11 [10%]. The incidence was more in obese patients as regard to postoperative arrhythmias 5 [45%]; pulmonary complications 5 [45%]; hours ventilated > 10 5 [45%]; perioperative MI occurred only obese patients 1 [9%] as compared to non-obese. There was no incidence of CVA, surgical and renal complications in obese patients