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Singh, Diksha
- Oral Mucosal Biopsy: Comparison of Surgical Artifacts in Incisional and Punch Oral Mucosal Biopsy
Authors
1 Department of Oral Pathology, Faculty of Dental Sciences, King George Medical University, Lucknow, UP, IN
2 Department of Oral pathology and Microbiology, Mahe Institute of Dental Sciences, Puducherry, IN
3 Department of Oral pathology and Microbiology, Sardar Patel Postgraduate Institute of Dental and Medical Sciences, Lucknow, IN
4 Jaipur Dental College, Jaipur, IN
Source
Medico-Legal Update, Vol 14, No 1 (2014), Pagination: 10-15Abstract
Background: Artifact is an artificial structure or tissue alteration on a prepared microscopic slide, as a result of an extraneous factor. It makes diagnosis difficult. Punch&Incisional biopsy commonly used for diagnosis of oral lesions often present with artefacts.
Aims&Objective: To study the artefacts arising in specimens during incisional&punch biopsy and to compare their occurrence in punch&incisional biopsy cases.
Methodology: The study was carried out at Department of Oral Pathology and Microbiology between March 2007 to May 2008. Study design was cross sectional&study unit comprised of subjects with oral lesions, having indications for incisional&punch biopsy. Incisional biopsy and punch biopsy specimens were taken from 25 cases each having oral lesions needing biopsy for diagnosis after informed consent. Specimens were compared for artefacts like curling, crush, haemorrhage, splits&fragmentation, stretch, pseudo cyst etc. Chi-square test was used to determine any significant difference between the two biopsy techniques.
Results: Artefacts were more frequent in Incisional biopsy group compared to punch biopsy group except for stretch artefact which was significantly higher in punch biopsy group. No statistically significant difference in proportion of artefacts was observed for artifact induced by improper surgical removal, by surgical suction instruments, curling, crush and injection artifacts. A statistically significant difference was found between Incisional&punch biopsy cases for haemorrhage and split&fragmentation artifact, both of which were lesser in punch biopsy group.
Conclusions: Punch biopsy technique produces much less artefacts in biopsy specimens compared to Incisional biopsy. It is rapid, safe and can reduce potential diagnostic problems and misdiagnosis
Keywords
Artefacts; Biopsy- Refurbishing the Pink and the White. Surgical Crown Lengthening in Esthetic Zone- A 5 Year Follow Up
Authors
1 Department of Conservative Dentistry and Endodontics, King George Medical University, Lucknow – 226003, Uttar Pradesh, IN
2 Department of Periodontology, Dental College, Regional Institute of Medical Sciences, Imphal – 795004, Manipur, IN
3 Department of Oral and Maxillofacial Pathology, King George Medical University, Lucknow – 226003, Uttar Pradesh, IN
Source
Journal of Pierre Fauchard Academy (India Section), Vol 32, No 3-4 (2018), Pagination: 71-74Abstract
Root stumps serve as pillars which can be utilized effectively as for future restorative needs in esthetic zones. Enhancing the white and depleting the pink may serve the purpose. Clinical Crown Lengthening Surgery (CCLS) is a traditional procedure which can be utilized to rehabilitate esthetics. The study involves a 30-year old patient with fractured crown irt 13. Crown lengthening was performed with apically repositioned flap and osseous reduction of 2 mm such that the new exposed tooth was approximately 4mm in length. The positive architecture was bone was established and 3 mm of attached gingiva was preserved. Root canal therapy followed by post and core was performed and the prosthesis was fabricated postsurgery. With the 22nd century approaching and dental implants being the new fad, it is still our responsibility to try to preserve what has been provided by nature to prevent us from becoming fictitious entities.
Keywords
Apically Positioned Flap (APF), Clinical Crown lengthening (CCLS).References
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