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Table of Content
(June -August 2014)
Technical Note
Simple and Atraumatic Technique for Lingual Tissue Retraction and Preventing Thermal Injury to Lips
Sumit Agarwal, Manish Gupta, Nishant Singh,K Prabhu Sankar
Sumit Agarwal, Manish Gupta, Nishant Singh,K Prabhu Sankar
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Damage to the lingual nerve is a common complication of removal of mandibular third molar teeth and the reported incidence of permanent sensory loss ranges from 0.5-2%.[1-3]. That of transient sensory loss is higher (up to 11.5%). Any technique that will appreciably minimize the risk of lingual sensory loss after mandibular third molar surgery should therefore be welcomed. Traditionally the lingual nerve is protected during third molar surgery by the use of various retractors. Howarth’s (Nasal) Raspatory has been the instrument of choice for retraction of the lingual mucoperiosteal flap, but Rood’ concluded that it is not a satisfactory instrument for protecting the lingual nerve during removal of mandibular third molars.
In this paper, a simple method is being devised for self retraction of lingual tissue and to prevent thermal injury to the lips when performing surgical removal of 3rd molar. When removing the 3rd molar, the periosteal elevator can be inserted into the ring of the mouth prop and placed between the lingual mucosa and the reflected bone. This technique provides self retraction of lingual flap and prevents inadvertent injury to lingual nerve. (Fig. 1)
It is possible that soft tissue can be damaged and lead to lacerations, abrasions, and contusions by the improper use of dental instruments by the person performing the surgery. An abrasion of the lips can be due to contact with a rotating shank of a surgical drill (bur) Soft tissue burns can be caused when a surgical drill starts to run hot due to the result of improper maintenance of the drill such as a dull bur or clogged or worn bearings or gears.A worn or clogged surgical drill will run hot due to a increase in power to the hand piece head or attachment in order to maintain hand piece performance. An ointment or cream such as Vaseline should be applied to the lips if an abrasion occurs[4-5]. This paper highlights that use of cheek retractor can prevent thermal injury to the lips. The cheek retractor prevents direct contact of the hand piece and the oral tissue and thus prevents thermal injury. (Fig .1) This approach makes the procedure easier and atraumatic.
Key words: Lingual Tissue Retraction,Thermal injury,Lip
How to cite this Article: Agarwal S,Gupta M, Singh N, Sankar KP. Simple and Atraumatic Technique for Lingual Tissue Retraction and Preventing Thermal Injury to Lips.Arch CranOroFac Sc 2014;2(2):107-108
Source of Support: Nil
Conflict of Interest:No
In this paper, a simple method is being devised for self retraction of lingual tissue and to prevent thermal injury to the lips when performing surgical removal of 3rd molar. When removing the 3rd molar, the periosteal elevator can be inserted into the ring of the mouth prop and placed between the lingual mucosa and the reflected bone. This technique provides self retraction of lingual flap and prevents inadvertent injury to lingual nerve. (Fig. 1)
It is possible that soft tissue can be damaged and lead to lacerations, abrasions, and contusions by the improper use of dental instruments by the person performing the surgery. An abrasion of the lips can be due to contact with a rotating shank of a surgical drill (bur) Soft tissue burns can be caused when a surgical drill starts to run hot due to the result of improper maintenance of the drill such as a dull bur or clogged or worn bearings or gears.A worn or clogged surgical drill will run hot due to a increase in power to the hand piece head or attachment in order to maintain hand piece performance. An ointment or cream such as Vaseline should be applied to the lips if an abrasion occurs[4-5]. This paper highlights that use of cheek retractor can prevent thermal injury to the lips. The cheek retractor prevents direct contact of the hand piece and the oral tissue and thus prevents thermal injury. (Fig .1) This approach makes the procedure easier and atraumatic.
Key words: Lingual Tissue Retraction,Thermal injury,Lip
How to cite this Article: Agarwal S,Gupta M, Singh N, Sankar KP. Simple and Atraumatic Technique for Lingual Tissue Retraction and Preventing Thermal Injury to Lips.Arch CranOroFac Sc 2014;2(2):107-108
Source of Support: Nil
Conflict of Interest:No
Original Study
Computerized Tomographic Localization of Inferior Alveolar Canal and Mental Foramen in the Mandible Among Implant Patients:An Imaging Study.
Anoop Kurian Mathew, Prashanth Shenai, Laxmikanth Chatra, Prasanna Kumar Rao
Anoop Kurian Mathew, Prashanth Shenai, Laxmikanth Chatra, Prasanna Kumar Rao
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ABSTRACT
Purpose: Assessment of location of vital anatomic structures is required while enterprising quality dental care. In this study, an assessment of the location of inferior alveolar canal(IAC) and mental foramen(MF) in the mandible was done by using computed tomography. An attempt was done to compare the variation in the location in various age groups.
Material & Methods: The mean location of the IAC and MF from the alveolar crest was done on 30 patients by using cross-sectional computed tomography(CT). A comparison of the mean distance in the three age groups was done by using ANOVA.
Results: The mean distance of the superior border of the IAC upto the alveolar crest of the mandibular 2nd premolar was at 12.56 on the right side and 12.65 on the left side. The mean distance of mandibular 1st molar was upto about 12.29mm on the right side and 12.71 on the left side. Mandibular 2nd molar showed the mean distance of 11.97mm on the right side and 11.94mm on the left side. The mean distance of the superior border of the MF upto the alveolar crest was at 11.99mm on the right side and 12.20mm on the left side. A comparison between the three age groups showed a statistical difference (P<0.05).
Conclusion: Assessment of vital anatomic structures for its presence and distribution is important in the pre-operative planning of dental implants so as to avoid bleeding due to damage of vessels within the jaw. The mean distance of the IAC with respect to the alveolar crest was decreasing as it was moving posteriorly.
Keywords: Inferior Alveolar Canal; Mental Foramen;Alveolar Crest; Computerized Tomography.
How to cite this Article: Mathew AK, Shenai P, Chatra L, Rao PK. Computerized Tomographic Localization of Inferior Alveolar Canal and Mental Foramen in the Mandible among Implant Patients:An Imaging Study.Arch CranOroFac Sc 2014;2(2):109-113.
Source of Support: Nil.
Conflict of Interest: Nil.
Purpose: Assessment of location of vital anatomic structures is required while enterprising quality dental care. In this study, an assessment of the location of inferior alveolar canal(IAC) and mental foramen(MF) in the mandible was done by using computed tomography. An attempt was done to compare the variation in the location in various age groups.
Material & Methods: The mean location of the IAC and MF from the alveolar crest was done on 30 patients by using cross-sectional computed tomography(CT). A comparison of the mean distance in the three age groups was done by using ANOVA.
Results: The mean distance of the superior border of the IAC upto the alveolar crest of the mandibular 2nd premolar was at 12.56 on the right side and 12.65 on the left side. The mean distance of mandibular 1st molar was upto about 12.29mm on the right side and 12.71 on the left side. Mandibular 2nd molar showed the mean distance of 11.97mm on the right side and 11.94mm on the left side. The mean distance of the superior border of the MF upto the alveolar crest was at 11.99mm on the right side and 12.20mm on the left side. A comparison between the three age groups showed a statistical difference (P<0.05).
Conclusion: Assessment of vital anatomic structures for its presence and distribution is important in the pre-operative planning of dental implants so as to avoid bleeding due to damage of vessels within the jaw. The mean distance of the IAC with respect to the alveolar crest was decreasing as it was moving posteriorly.
Keywords: Inferior Alveolar Canal; Mental Foramen;Alveolar Crest; Computerized Tomography.
How to cite this Article: Mathew AK, Shenai P, Chatra L, Rao PK. Computerized Tomographic Localization of Inferior Alveolar Canal and Mental Foramen in the Mandible among Implant Patients:An Imaging Study.Arch CranOroFac Sc 2014;2(2):109-113.
Source of Support: Nil.
Conflict of Interest: Nil.
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