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Clinical Studies of Oral and Maxillofacial Manifestation From Population of Karachi Pakistan

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Clinical studies of oral and maxillofacial
manifestation in Thalassemia from population
of Karachi, Pakistan
Article in International Journal of Oral and Maxillofacial Surgery · October 2015
DOI: 10.1016/j.ijom.2015.08.116
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Faisal Hameed
Jinnah Sindh Medical University
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2. e222 E-Poster Presentation
Objectives:To document diseases affecting paedriatic popula-
tion in Pakistan (the problems and diseases in children differ from
adults in presentation, intensity and nature).
To develop Paedriatic Oral and Maxillofacial Surgery as a sub-
specialty so that better treatment could be provided by specialist as
paedriatic population makes about 43.40 [30] percent of Pakistan’s
total population.
Methods:Study was conducted at oral and maxillofacial
surgery clinics of tertiary care teaching facilities. It was a descrip-
tive, cross-sectional study which is survey based with study
designing, data collection and data analysis duration of 2 years
and 6 months. Paediatric population aged 0–17 years was included
in the study after diagnosis on basis of clinical and radiographic
investigations.
Findings and conclusions:Total of 1011 patients were
included, showing male to female ratio of 1.5:1. Dental problems
were the leading cause of reporting to hospital in the age group
3–17 years most frequently with caries being most common.
http://dx.doi.org/10.1016/j.ijom.2015.08.115
Clinical studies of oral and maxillofacial manifestation in Tha-
lassemia from population of Karachi, Pakistan
S.M. Ali
1
, S.M. Haider
2,∗
, S.G. Hassan
3
, F. Hameed
4
, Z. Ali
1
,
S. Jaffery
5
, S. Ahmed
1
1
Abbasi Shaheed Hospital, Karachi, Pakistan
2
Karachi Medical and Dental College and Abbassi Shaheed
Hospital, Karachi, Pakistan
3
Liaquat University of Health Sciences Jamshoro, Sindh,
Pakistan
4
Civil Hospital, Karachi, Pakistan
5
Husaini Institute of blood diseases Karachi, Sindh, Pakistan
Background:Thalassemia is a worldwide disease. 5–7% of
Pakistani population (approx 8–10 million) are carrying genes of
this disorder.
It causes various abnormalities of different organs of patients.
In Pakistan some work on other aspects of Thalassemia were car-
ried out but no work on oral and maxillofacial manifestation has
been carried out, therefore present study has been under taken.
Objectives:To evaluate the prevalence of oral maxillofacial
disorders in Thalassemia patients.
Methods:A total 50 Thalassemia-major patient randomly
selected, out of them 35 were male and 15 were female between
the age group of 6–31 years from the Husaini institute of blood
diseases Karachi, Pakistan.
Results and findings:The most prominent features included
skull bossing seen in 80% of the patients, 90% depressed bridge of
the nose, 50% pallor of oral mucosa, 90% intraoral pigmentation
and 50% proclination of teeth. 25% splenomegaly, memelons 30%
and cardiovascular changes were also commonly seen
Conclusions:This study showed that about 90% (45 cases) of
all patients under consideration and showed changes in oral and
maxillofacial manifestation and result are also confirm the result
reported from the other part of the world.
http://dx.doi.org/10.1016/j.ijom.2015.08.116
Clinical, social and emotional implications of oral cancer ther-
apeutics in Karachi population
S.A. Matloob
1
, S.M. Haider
2,∗
, S. Ahmed
1
, F. Hameed
2
1
Karachi Medical and Dental College and Abbassi Shaheed
Hospital, Karachi, Pakistan
2
Civil Hospital, Karachi, Pakistan
Background and objectives:Oral cancer patients experience
many problems before during and after the course of treatment.
The aim of this master thesis is to evaluate the complications that
arise after its treatment according to the stage of oral cancer in
order to recognize the importance of therapeutic intervention at
initial stages.
Methods:A total of 101 oral squamous cell carcinoma treated
patients selected from the consultant clinics of Abbasi Shaheed
Hospital and Karachi Medical & Dental College Karachi, to mea-
sure the outcomes after treatment of oral cancer, the functional
assessment of cancer therapy (FACT H/N version 4) questionnaire
in Urdu has been used, FACT-H&N Scoring Guidelines (Version
4) have been followed to score the completed questionnaires and
SPSS-16 software is used for description.
Findings and conclusion:Post-operative complications do not
show any statistically significant difference at (p > 0.05) between
oral cancer stage 1 and stage 2. But it has a significant difference
between the initial stage (1 and 2) and advanced stage (3 and 4)
at (p< 0.05).
Conclusions:We concluded that those patients who treated
at later stages suffered badly as compared to patients with early
stage.
http://dx.doi.org/10.1016/j.ijom.2015.08.117
The dento-osseous distraction method – an innovative tech-
nique to manage ankylosed impacted maxillary canine
M. Halsnad
1,∗
, G. Taylor
1
,D.Boyd
1
, R. Pilley
2
1
Department of Oral & Maxillofacial Surgery, UK
2
Department of Orthodontics, University Hospital Crosshouse,
Kilmarnock, Scotland, UK
Background:The majority of impacted maxillary canines
(IMC) are managed with combined surgical and orthodontic extru-
sion (CSOE) into dental arch. After an adequate exposure of
IMC with unsuccessful CSOE, the treatment options are gen-
erally limited to extraction with space closure or implant based
restoration with bone grafting.
Objectives:Authors aim to demonstrate the technique of a
single tooth dento-osseous distraction (STDD) of upper right IMC
by using a modified intra oral distractor to manage a failed CSOE
case.
Methods:A 23-year-old male with failed CSOE for his right
IMC was investigated with CT scans and the tooth was found anky-
losed. Under general anaesthesia a single tooth osteotomy was
done with minimal access and a modified micro-distractor was
positioned. After 4 days of latency period the osteotomy segment
with canine was successfully distracted with the canine taking up
a satisfactory position into maxillary arch in ten days. After the
consolidation period the distractor was removed and after comple-
tion of fixed orthodontics the canine was found to be stable with
good functional and aesthetic result at 1 year follow-up.
Conclusions:The STDD technique has been reported for cen-
tral incisors
1
but its not well-documented option for IMC. From
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