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Mahajan, Amit
- Follicular Ameloblastoma with Granular Changes Affecting Mandible & Maxilla - a Case Report
Authors
1 Department of Oral and Maxillofacial Surgery K. M. Shah Dental College and Hospital Sumandeep Vidyapeeth Piparia Waghodia Vadodara Gujarat - 391760, IN
2 Department of Oral and Maxillofacial Surgery, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Vadodra, Gujrat, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 244-248Abstract
Ameloblastoma is defined as a benign but locally invasive neoplasm consisting of proliferating odontogenic epithelium lying in a fibrous stroma. Ameloblastomas are believed to have an epithelial origin, i.e. remnants of the dental lamina, remnants of Hertwig's ischolar_main sheath (the epithelial remains of Malassez), epithelium of odontogenic cysts (particularly dentigerous cysts) and odontomas, the developing enamel organ and the basal cells of the surface epithelium of the jaws. Here we report a case of follicular cell ameloblastoma in a 45 years old female patient with a chief complaint of pain & swelling over the left side of face since 5 years. H & E stained sections showed stratified squamous hyperkeratotic epithelium with break in the continuity of the basement membrane. The underlying connective tissue contains numerous nests, strands, sheets & islands of dysplastic to atypical epithelial cells suggestive of malignancy in a fibro cellular stroma with little or no inflammatory cell infiltration. Hemimandibulectomy was done including condyle and coronoid process and the tumor mass. A 2.5 mm stainless steel reconstruction plate was fixed for the mandibular reconstruction. There was a marked resorption of the maxillary bone due to tumor expansion but maxilla was not involved directly into the tumor extension.
References
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- Pattern of Antibiotic Prescription in the Management of Endodontic Infections amongst Oral and Maxillofacial Surgeons and Endodontists in Gujarat
Authors
1 Department of Oral and Maxillofacial Surgery, K.M. Shah Dental College & Hospital, Sumandeep Vidyapeeth, Piparia-391760, Waghodia Road, Vadodara, Gujarat, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 2 (2012), Pagination: 1-3Abstract
Aim
To identify antibiotic prescription in the treatment of endodontic infections amongst Oral Surgeons and Endodontists in Gujarat.
Methodology
The Oral Surgeons&Endodontists registered with the Gujarat State Dental Council were surveyed on antibiotic prescription for six different pulpal and periapical diagnoses. A total of 70 questionnaires were delivered with 59 returned (84%).
Results
The average duration of antibiotic therapy was 7.0 ± 1.0 days. Ninety five percent of respondents selected amoxicillin as the first choice of antibiotic in patients with no medical allergies, alone (34%) or associated to clavulanate (61%). The first drug of choice for patients with an allergy to penicillins was clindamycin (65%), followed by azithromycin (15%) and metronidazole (13%). For cases of irreversible pulpitis, 86% of respondents prescribed antibiotics. For the scenario of a necrotic pulp, acute apical periodontitis and no swelling, 71% prescribed antibiotics. Almost 60% of respondents prescribed antibiotics for necrotic pulps with chronic apical periodontitis and a sinus tract.
Conclusions
The majority of the Oral Surgeons&Endodontists in Gujarat were selecting the appropriate antibiotic for use in endodontic infections, but there are still many who are prescribing antibiotics inappropriately. The use of antibiotics for minor infections, or in some cases in patients without infections, could be a major contributor to the world problem of antimicrobial resistance.
Keywords
Apical Periodontitis, Endodontic Infections, Irreversible Pulpitis, Orofacial Infections, PharmacologyReferences
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