Online ISSN: 2515-8260

Keywords : Mandible


Vyas Narayan Shukla1, Manish Shukla2, Sachin Yadav3, Siddhartha Sagar

Dr.Kamlesh Kumar Dhruv, Dr. Pradeep Kumar Pande, Dr.Mastan Shaik MDS

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1272-1275

Background: facial injury has led to furtherance in techniques of internal fixation,
improvements in plating system. Trauma to the facial bones and exposure of the site
and internal fixation with micro and mini plates. Evaluating 10 patients with fractures
of maxilla and mandible and open reduction and internal fixation with and comparison
of micro and mini plates with load bearing capacity, stability at the fracture site and
postoperative complications. Objectives: Comparison of micro and mini plates in
maxillofacial trauma cases.
Materials and Methods: Sample consists 10 subjects, 5 each in two groups clinically and
radiographically diagnosed with Group 1 (maxillary fractures) and Group 2
(mandibular fractures) which were subdivided into 5 each treated with miniplate and
microplate respectively. All cases have been evaluated clinically for various parameters
for minimum of 1 months 2 month and 3 months of assessment of any postoperative
complications. Post operative evaluation for pain and fracture site stability and post of
infections, mouth opening, wound healing was observed.
Results: Study resulted as microplates are more and enough stability and have good
adequate capacity of adaptation when compared with mini plates because of flexibity of
plate and less size of the microplates feels less hard than mini plates when used in
maxilla.
Conclusion: Microplates have good adequate adaptation and rigid enough to provide
adequate stability of the fracture segment when compared with mini plates, many
number of fractures evaluation in maxilla and mandible finally concluded microplates
are good at maxilla fixation and mandible.

A Morphological Study of Retromolar Foramen and its Clinical Relevance in Human Dry Mandible

Nahid Yasmin, Yousuf Sarwar, Wali Akram

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2302-2307

Background: Multiple accessory canals may emerge from themandibular canalrunning almost parallel to it. These canalstransmit the branches of inferior alveolar neurovascular bundle supplying the mandibular area. Retromolar canal is formed when one of these accessory canals extends antero-superiorly within the mandible and finally emerges through a single or multiple foramina into the retromolar fossa. This foramen is called retromolar foramen. At times, this area is important for the clinicians during mandibular surgeries and anesthetic procedures so, it is important to determine the exact location of retromolar foramen.
Materials & Methods: 100 dried adult human mandible (58 male and 42 female) were included in the present study. All the mandibles were examined for the presence of retromolar foramen. In the mandible where foramina were noticed, we measured the distance of foraminafrom three landmarks namely, posterior border of socket of third molar tooth, anterior border of ramus of mandible and lingual. We also measured the boundaries of the retromolar trigone.
Results: Out of 100 mandibles, retromolar foramen was found in 21% (8% in male and 13% in female). Retromolar foramen was observed in 6% on right side, 5% on left side and 10% bilaterally. The minimum distance of retromolar foramen from various landmarks was found to be more on left side.
Conclusion: We concluded that the retromolar foramen is not a rare variation. This area should be regarded as an important landmark for various surgical and anesthetic procedures.

DESMOPLASTIC AMELOBLASTOMA: A REPORT OF THREE CASES FROM A SINGLE INSTITUTE WITH REVIEW OF LITERATURE.

Dr. Amitha J Lewis MDS; Dr. Shakthi Dorai MDS; Dr. Karen Boaz MDS; Dr. Srikant N MDS; Dr. Mohan Baliga MDS; Dr. Dharnappa Poojary MDS; Dr. Ankita Sharma MDS

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 381-389

Desmoplastic ameloblastoma (DA) a rare type of ameloblastoma, arises from the rests of dental lamina, developing enamel organ, epithelial lining of odontogenic cyst or from the basal cells of the oral mucosa. Clinically, DA develops as a slow growing, painless, bony hard swelling resulting in facial asymmetry. Histologically, it represents stromal collagenization or desmoplasia with small nests and strands of odontogenic epithelium. But the true biologic profile of DA is not well understood as they mimic fibro-osseous lesions clinico-radiographically. As DA is a rare entity,we aim to discuss three case reports of DA from a single institution which deserves pre-eminence owing to its distinct site, radiological and histological features, local aggressiveness and high chance of false clinical appearance. Desmoplasia is an inductive phenomenon occurring in the mesenchymal tissue of the head and neck region. The pathologist and the clinician should be aware of the concepts and the association with malignant transformation and spread of the lesion in order to deliver appropriate treatment.

MORPHOMETRY AND MORPHOLOGIC ANALYSIS OF MENTAL FORAMEN IN INDIAN ADULT POPULATION SKULLS

CHETNA THAKUR; PRERNA CHANDRA; TEJENDRA SINGH; BHAWANI SHANKAR MODI; SHIKHA SHARMA

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 799-804

Backround: Mental foramen present on anterolateral surface of mandible &provide passage
for nerve and vessels.
Methods: Present study was carried out in department of anatomy on 50 dry adult mandibles
from F.H. medical college Agra & Autonomous state medical college Shahjahanpur.
Results: Position of mental foramenin the line with second premolar 64% on right side& 70%
on left side, between second premolar & first molar 10% right side & 14% on left side, between
first and second premolar 18% right side & 4% left side and in the line with first premolar
absent on right side & 4% on left side.

Role of distraction osteogenesis in the cranio- maxillofacial deformities: A Review literature

Dr. Vijay aravind. R; Dr. Vijay ebenezer; Dr. Balakrishnan Ramalingam

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 1900-1907

Background:
Distraction osteogenesis (DO) has become a well known useful procedure now-a-days in the field of oral and maxillofacial surgery, as we know initially this technique was used in the limbs, that is in the long bones but slowly thanks to its success in that area it potentiated the use of this procedure in the mandible, then gradually into the maxilla and now it has become a widely used procedure in the cranio- maxillofacial deformities. This review aims to provide an insight into the role of distraction osteogenesis in the cranio- maxillofacial deformities.
Conclusion:
The patients with cranio- maxillofacial deformities has more functional problems, poor aesthetics, muscular imbalance, improper oral hygiene, and sequelae of problems will follow it. So, distraction osteogenesis has become boon for those patients with such deformities. Distraction osteogenesis procedure has clinically showed that it is a versatile technique that it can performed with orthognathic surgery with proper planning and also supports the surgical treatment of tmj ankylosis by relaxing the airway obstruction caused by it. The worthiness of this procedure increases day by day in modern surgery and is definitely a key in oral and maxillofacial surgery.

Soft and hard tissue giant cell lesion as an expression of parathyroid adenoma – A clinical case presentation

Dr Sanat kumar Bhuyan; Dr Ruchi Bhuyan; Dr Bikash Bishwaddarshree Nayak; Siddhant Bhuyan; Gautam Ghosh; Akankhya Sahu

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 6, Pages 1221-1229

Brown’s tumour is a special rare localized giant cell related tumour which arises as a consequence of the raised parathyroid hormone. Apart from other bones in body, in facial aspect the mandible is the most predominant site in the compared to maxillary involvement. Brown’s tumour, usually manifest as osteolytic activity and gross distortion in the bones including maxillofacial bone,this suggests the necessity of timely diagnosis and timelyaccurate management. Here we report afemale patient of 37 years presented with a soft tissue swelling in the gum of rightside of the mandible along with hard tissue involvement of left side as the foremost appearance of main hyperparathyroidism, because of underlying parathyroid adenoma.