Shoborose Tantray

Background: Oral malignancy is very common in India because of the excessive use of tobacco chewing and smoking. Procedure of Cytology is inexpensive and unchallenging that can be carried out effortlessly at outdoor patient department to diagnose malignancy at early stage. Aim and Objectives: The present study was carried out to detect cancer pre-invasive stage by use of exfoliative cytology and to probe the probability of using this technique in diagnosis of other oral lesions thought as premalignant ones. Materials and Methods: A total 102 patients referred from OPD and Surgery Department of a Private Hospital, Dispensary and Cancer Hospital, Delhi, between August 2019 to April 2020 , were included in this study. Two smears were taken by scrap method, from each patient and were prepared after air dried stained with RAPID PAP stain. According to the Papanicolaou classification the smear were assessed along with clinical, epidemiological data and classified in group I to IV. Results: In our result 25 cases were normal, leukoplakia 47 cases with mean age 47.5 years, 85% male. Predominantly 53% Smear show anucleated squames. 06 cases were Oral submucous fibrosis ,66.7% were female with mean age 38.3 years and, the present smear revealed rarification of nuclei in 66% cases. 02 cases of mucosal hyperemia (Erythema), one-one case of traumatic ulcer and granular buccal mucosa were included. Out of 12 cases of malignancy, male were 75% with mean age of 46 year. Buccal mucosa and tongue were the common site with incidence of 60%. The smear showed inflammatory cells in 100%, malignant cells in 75% cases either in groups or in singles. The third type of cells 60%, 37% the undifferentiated cells, and 5% cases Tadpole cells. In this study 75% cases were positive for cancer, 10% were suspicious for cancer and remaining 15% were given as negative for cancer. Conclusion: For the diagnosis of presence or absence of malignancy in a lesion with high accuracy rate Cytology is reliable diagnostic tool. The oral cytologic technique is effortless to do and can provide the help of surgeon/physician, instead of performing an invasive procedure, like a biopsy, or desire more information regarding a lesion before referring the patient. Keywords: Exfoliative cytology, Leukoplakia, Oral malignancy, Cancer.

Odontomas are the most common odontogenic benign tumors composed of dental tissue. The term odontoma was first coined by Broca (1866); he defined odontoma as a tumor formed by an overgrowth of complete dental tissues. They can be thought of as “tooth hamartomas” with the lesion consisting of various tooth components. Histologically Odontomas are divided into complex and compound odontomas. In this paper we are describing the case of a complex odontoma in an eight -year-old boy diagnosed due to the retention of the permanent left maxillary central and lateral incisor. A surgical excision was performed without distressing the unerupted central and lateral incisor. The results obtained indicate that early diagnosis of odontomas enables adoption of less complex treatment, a better prognosis, and displacement or devitalisation of adjacent tooth. Keywords: Odontomas, Hamartoma, Denticles, Odontogenic tumour.

The lesions presenting in the oral cavity of neonates are considerably significant in pediatric dentistry. Although they pertain to the oral cavity they may reflect an underlying systemic condition. These may be clinically misdiagnosed or left untreated owing to lack of parental education, awareness and resources. Their managementrequires thorough knowledge of the various lesions and accurate clinical assessment for diagnosis, prognosis, reatment and parental counselling. Majority lesions are asymptomatic and benign hence resolve without any intervention. This review article is an overview for recognition and management of oral lesions prevalent in neonates. Keywords: Oral & maxillofacial Pathology lesions, Pediatric dentistry, Managed care.

Oral squamous cell carcinoma (OSCC) is the most typical type of oral malignant neoplasm. As per literature, OSCC of the alveolar ridge account for 9% of all the oral carcinomas. It shares clinical similarity with various forms of inflammatory gingival lesions and is very commonly misdiagnosed in our routine dental practice. The dentist should have precise knowledge regarding the clinical manifestation of this deadly disease as early diagnosing and prompt treatment can scale back morbidity and mortality of the disease. Keywords: Carcinoma, Squamous cell, Precancerous conditions,OSCC.

Introduction: Patients with dental Class II bimaxillary dentoalveolar protrusion are generally treated by extracting all four first premolars or two first and two second premolars, and retracting the anterior teeth. This case report describes the treatment of an adult female patient aged 21-year-old with bimaxillary protrusion, a Class II canine and class II molar relationship along with lip protrusion. Materials and Methods: In this patient, the lower right and left mandibular first molar i.e., (3-6) and (4-6) had to be extracted due to extensive caries, also extraction was performed for maxillary 1st right and left bicuspids i.e., (1-4) and (2-4). Mini-implant (1.4 mm in diameter, 8 mm long) were placed in interradicular bone between the maxillary second bicuspids and first molars and mesial to mandibular second molar to allow en-masse retraction of upper and lower anterior teeth. Results: Overall, miniscrews (TADs) can provide anchorage to produce a good facial profile in cases of dental Class II bimaxillary dentoalveolar protrusion with hopeless mandibular first molars. Keywords: Miniimplant, Tooth extraction, Tooth movement.