i-manager's Journal of the Indian Dental Association Tamil Nadu (JIDAT)


Volume 2 Issue 1 October - December 2011

Role of Autogenous Mandibular Bone Crafts in Maxillofacial Reconstruction

A. Thangavelu* , C. HariPrasath**, R. Narendar***

Abstract

Reconstructive Surgery or the ability to make a patient 'whole' again is the basic principle of any surgical speciality. Oral and Maxillofacial Surgeons have a long history of providing hard and soft tissue skeleton from time immemorial. The gold standard for bony reconstruction in the maxillofacial region is currently the use of autogenous bone. The various anatomical sites in the mandible like symphysis, ramus, coronoid process, lingual cortex, external oblique ridge are used as donor sites in grafting autogenous bone. The purpose of this article is to provide a comprehensive insight into the use of mandibular autogenous bone grafting procedures in the reconstruction of maxillofacial defects.

Submandibular Salivary Sialolith - Report of a Case and Review of Literature

Thanvir Mohamed Niazi* , G. Ulaganathan**, R. Yoganandha***

Abstract

Salivary gland disorders are a diverse group of diseases with a multifactorial etiology. Those involving the submandibular salivary gland, in particular, present a complex clinical picture due to overlapping anatomical structures in the region. Diagnosis, supplemented by clinical examination and adjunct aids such as radiographs, computed tomography, and magnetic resonance imaging, allows for definitive management of these conditions. This article reports on a case of submandibular salivary sialolith and its management modalities.

Antimicrobial Efficacy of Four Calcium Hydroxide Formulations & Chlorhexidine Gel using Agar Diffusion Model

P. Ravishanker* , M. J. Divyanand**, C. V. Subba Rao ***

Abstract

We aimed to assess the antimicrobial efficacy of four calcium hydroxide formulations and chlorhexidine gel against E. faecalis in vitro. We evaluated the effect of CHX gel and calcium hydroxide in combination with various vehicles using the agar diffusion test to measure the zone of inhibition. In the agar diffusion test, 1% chlorhexidine gluconate gel showed better antibacterial efficacy against E. faecalis. Vitapex paste with 30% Ca (OH)2 showed the least inhibition of E. faecalis. CHX was found to be effective against E. faecalis in vitro. Further in vivo studies are needed to confirm the value of CHX in clinical treatment.

Functional and Esthetic Rehabilitation in a Case of Hemimandiblectomy - A Case Report

V. Balakumar* **

Abstract

Large defects in the maxillae and mandible, whether congenital or acquired through major surgery, completely alter the dynamics of the stomatognathic system, resulting in a patient who requires complete oral rehabilitation. This case report presents the successful rehabilitation of a 45-year-old male patient who underwent a hemimandiblectomy for extensive osteomyelitis involving the left ramus, condyle, coronoid, and a part of the body of the mandible extending from the ipsilateral premolar region posteriorly. The design of the maxillofacial prosthesis was carried out with careful attention to prosthodontic principles, including the creation of a lip seal, elimination of mandibular deviation in function, and establishment of facial symmetry.