Neeraj

Abstract

Animal bites are a significant cause of morbidity and mortality across the globe and when involving the orofacial region, they commonly present to dental surgeons. Literature on their initial management provides a plethora of conflicting views and results and it is necessary to be up to date with the latest modalities of management of such facial injuries to give best functional and surgical outcomes to the patients. Antibiotics and anti-tetanus and anti-rabies vaccinations and immunoglobulins should be judiciously administered along with appropriate wound management.   Keywords: Animal bite, Dog bite, Facial injuries, Maxillofacial injury, Rabies.

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Abstract

Objectives: The aim of this study was to compare the post-operative sequelae of removal of impacted third molars in participants treated with conventional flap elevation technique or with a minimally invasive flapless technique. Materials and Methods: Participants with bilaterally impacted mandibular third molars were included. They were divided into two sites constituting 2 groups. One group was operated by using conventional flap design and elevation and other with flapless technique. Objective clinical parameters were recorded and compared in the post-operative period like mouth opening, swelling, surgical time, and pocket depth. Subjective parameters including pain were also assessed and statistically analyzed. Results: The sites operated in Group II (Flapless technique) had better results (p?0.05) in terms of pain, swelling, trismus, and pocket depth distal to second molar when compared to Group I (Flap). Conclusion: The flapless technique gives better surgical results and improved healing process after third molar removal and so should be recommended in routine clinical practice.   Keywords: Third molar, Impacted tooth, Trismus, Periodontal pocket, Edema, Postoperative pain

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