Does a Single Episode of Pain from Impacted Third Molars Necessitate Their Removal?

Background: Pericoronitis induces oxidative stress in the dental follicular (DF) tissue, which can lead to histopathological alterations. It is a fact that an impacted tooth with a history of recurrent pericoronitis should be extracted. But there is a limited research on the levels of nitric oxide (NO) in DF tissues of impacted mandibular third molars with even a single episode of pain, necessitating their removal biochemically at a younger age.

A Rare Case of a Dentinogenic Ghost Cell Tumor Associated With a Compound Odontoma: A Case Report and Literature Review.

A dentinogenic ghost cell tumor (DGCT) is a rare and locally aggressive benign mixed odontogenic tumor, histologically made up of ameloblast-like epithelial islands, ghost cells, and dentin-like material. This is a highly unusual example of DGCT combined with an odontoma in a 13-year-old female patient affecting the right maxilla. On radiographic examination, ill-defined radiolucency with right maxillary sinus obliteration and involvement of permanent maxillary right first and second molars were noted.

Recommendations on the Use of Oral Orthotic Occlusal Appliance Therapy for Temporomandibular Joint Disorders: Current Evidence and Clinical Practice.

Background: 'Temporomandibular joint disorders (TMDs)' denote an umbrella term that includes arthritic, musculoskeletal and neuromuscular conditions involving the temporomandibular joint, the masticatory muscles, and the associated tissues. Occlusal devices are one of the common treatment modalities utilized in the conservative management of TMDs. The indications for the available 'oral splints' or 'oral orthotic occlusal devices' remain ambiguous.

Comparing the Efficacy of Twin Mix and Lidocaine for Inferior Alveolar Nerve Blocks in Patients With Symptomatic Irreversible Pulpitis.

This randomized, active-controlled, double-blind, prospective clinical trial evaluated the anesthetic efficacy of 2% lidocaine with 1:200,000 epinephrine versus an admixture of 2% lidocaine with 1:200,000 epinephrine and 1 mL of 4 mg dexamethasone (Twin mix) for inferior alveolar nerve blocks (IANBs) in patients with symptomatic irreversible pulpitis (SIP) of the mandibular molars. Seventy-eight patients with SIP of mandibular molars were randomly allocated to the 2 groups of 39 subjects. All patients were required to have profound lip numbness within 10 minutes of local anesthetic deposition.

Cervicofacial Actinomycosis and its Management.

Cervicofacial actinomycosis is an invasive destructive infectious syndrome, caused by Gram-positive, branching filamentous bacteria, . Most of the cases are traced to an odontogenic source with periapical abscess and posttraumatic or surgical complications with poor hygiene and immunosuppression as contributing factors. Diagnosis is often delayed because of nonspecific and prolonged symptoms usually mimicking a malignant or a granulomatous lesion.

The Role of Ultrasound in Diagnosis of Temporomandibular Joint Disc Displacement: A Case-Control Study.

Purpose: Ultrasound is extensively being used for imaging of temporomandibular joint as it is non-invasive and relatively inexpensive. The purpose of this study was to evaluate the use of ultrasound in identifying TMJ with internal derangement and to access its usefulness as a diagnostic tool in patients with TMJ clicking.

Methods: A case-control study was done: 25 patients with a complaint of clicking sound while opening the jaw were randomly selected as the study group and 25 patients who were asymptomatic on TMJ examination were selected as the control group.

A Novel, Minimally Invasive Technique in the Management of a Large Cyst Involving the Maxilla in a Child: A Case Report.

The conservative management of large, odontogenic, developmental cysts involving the jaws in young children using the technique of decompression has become increasingly popular to reduce the incidence of morbidity associated with aggressive treatment modalities. The lack of development of a stock device has made clinicians to explore various possible and readily available materials to customize the devices. This paper highlights the use of a novel material to be used as a decompression device that is readily available and can be used with good patient compliance and a predictable outcome.

Subconjunctival ecchymosis after extraction of maxillary molar teeth: a case report.

Extraction of teeth is usually performed by either intra-alveolar or trans alveolar methods. Subconjunctival ecchymosis occurring after intra-alveolar extraction of maxillary first and second molar teeth is a rare entity and finds no mention in the latest clinical literature. The etiology of subconjunctival ecchymosis includes traumatic and non-traumatic causes.