Indian Journal of Public Health Research & Development

Alkananda Sahoo ¹, Swagatika Panda ¹, Subrat Padhiary ², Neeta Mohanty ¹, Debkant Jena ³

Affiliations
1 Department of Oral and Maxillofacial Pathology and Microbiology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
2 Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
3 Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha,, IN

Abstract

Jaffe in 1953 differentiated Central Giant Cell Granuloma (CGCG) from Giant Cell Tumor of bone. This intra-osseous lesion has been described by various authors’ as a reactive lesion or as a developmental anomaly or as a non neo-plastic lesion. Though inflammation, haemorrhage, local trauma has been suggested as some of the aetiological factors but actual aetiology is still unclear. Genetic aetiology has also been hypothesized. Mandible is the common site of occurrence, frequently crossing the midline. Incidences in females are more and less than 30 is the age of occurrence. The clinical behaviour of CGCG ranges from a slowgrowing asymptomatic swelling to an aggressive lesion with pain, local osteolysis, ischolar_main resorption and tooth displacement. Most widely accepted treatment is surgery. Nonsurgical treatments with alpha-interferon, calcitonin and corticosteroids have been described and their benefits may be worthy of consideration. Contrary to the age, gender and site here we present a case of CGCG in a 52-year-old male patient presenting with a swelling in the right anterior maxilla.

Keywords

Central Giant Cell Granuloma, Swelling, Maxilla.

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Satya Ranjan Misra ¹, Swagatika Panda ², Subrat Padhiary ³, Subhangi Pareek ², Saswati Priyadarshini ¹, Neeta Mohanty ²

Affiliations
1 Department of Oral Medicine & Radiology, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
2 Department of Oral Pathology & Microbiology, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
3 Department of Oral Surgery, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN

Abstract

Dentinogenic ghost cell tumor DGCT) is a rare, locally invasive and aggressive, benign odontogenic neoplasm which is considered to be a solid variant of calcifying odontogenic cyst COC) with locally aggressive behavior.These resemble other epithelial odontogenic tumors having proliferation of odontogenic epithelium, an abnormal keratinization in the form of ghost cells and dysplastic dentine. There are no characteristic clinical or radiologic pathognomonic features of this rare neoplasm and is confirmed by histopathological evaluation. The present report describes an extremely rare presentation of a DGCT in the posterior body-ramus of the mandible of a 13-year-old male child, which is an unusual age of occurrence.

Keywords

Calcifying Odontogenic Cyst, Dentine, Ghost Cells, Aggressive Tumor.

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Trupti Sahoo ¹, Subrat Padhiary ², Stiti Pragnya ²

Affiliations
1 Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
2 Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN

Abstract

The treatment of mandibular fractures has created a large number of conversation and dispute in maxillofacial accidental cases and there are a lot of techniques to treat them. Condylar fracture can be extracapsular or intracapsular, displaced, deviated, displaced or dislocated. The management of condylar fracture can be done by conventional management using closed treatment or surgical management with open approach. Most surgeons look for closed treatment. Yet open reduction of condylar fracture with RIF has become increasingly popular in recent years. The management of mandibular condylar fracture can be considered by the patient’s age, the presence of upper and lower jaw fracture, if the condylar fracture is unilateral or bilateral, the stage and movement of the fracture, the dentition status and occlusion of tooth.

Keywords

Mandibular Condyle, Temporomandibular Joint, Fractures.

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Pratikshya Kothai ¹, Santosh Kumar Subudhi ¹, Subrat Padhiary ¹, Sthitaprajna Lenka ¹, Kalyan Sundar Pal ², Basant Kumar Choudhury ³

Affiliations
1 Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to Be University), Bhubaneswar, Odisha, IN
2 Department of Oral & Maxillofacial Surgery, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to Be University), Bhubaneswar, Odisha, IN
3 Department of Oral Medicine and Radiology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to Be University), Bhubaneswar, Odisha, IN

Abstract

CAD/CAM means computer aided design and computer aided manufacturing. It is the technology concerned with the use of digital computers to perform certain function in design and manufacturing. CAD can be defined as the use of computer system to create, modify, analyze or optimize an engineering design. CAD/ CAM used for designing as well as controlling the manufacturing process. Reconstruction the craniofacial structure is difficult due to its complex anatomical structure, presence of vital structure adjacent to the affected part, chances of high infection. For any craniofacial reconstruction autograft is the gold standard. But use autografts have limitation such as large defect, chances of infection, additional surgeries, highly qualified team, donor site morbidity etc. But the CAD/CAM system focuses on 3D modeling which gives the surgeons the ability for precise preoperative planning and perform virtual resection of the defect and design the patient specific implants.

Keywords

CAD-CAM, Craniomaxillofacial, Reconstructive Surgery, Prosthesis.

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