Monthly Archives: January 2012

Wound closure techniques other than sutures Part 2

STRENGTH AND SECURITY

In less than three minutes, DERMABOND adhesive provides the strength of healed tissue at 7 days. A strong, flexible 3-dimensional bond makes it suitable for use in closing easily approximated incisions of many types (example—deep, short, long). Continue reading →

Dangers of an Abscessed Tooth Part 2

Continued from Part 1

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  • Abscesses in the molar region of either jaw may penetrate the buccal cortical plate above (in the upper jaw) or below (in the lower jaw) the attachments of the buccinators muscle (A muscle that flattens the cheek and retracts the angle of the mouth). In such acute inflammatory edema and pus discharge spread into the soft tissues of the face or neck. This may present as a cellulitis or less frequently as a localized soft tissue abscess depending on the nature of the infection. Such an abscess may track towards the overlying skin to discharge through a sinus on the skin surface. The abscess may then become chronic with the sinus discharging pus periodically, associated with increasing fibrosis, scarring and disfigurement. Continue reading →

Wound closure techniques other than sutures Part 1

Wound closure techniques have evolved from the earliest development of suturing materials to comprise resources that include synthetic sutures, absorbables, staples, tapes, and adhesive compounds. The engineering of sutures in synthetic material along with standardization of traditional materials (eg, catgut, silk) has made for superior aesthetic results. Similarly, the creation of natural glues, surgical staples, and tapes to substitute for sutures has supplemented the armamentarium of wound closure techniques. Aesthetic closure is based on knowledge of healing mechanisms and skin anatomy, as well as an appreciation of suture material and closure technique. Choosing the proper materials and wound closure technique ensures optimal healing. Continue reading →

Dangers of an Abscessed Tooth Part 1

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The majority of infections that appears on the mouth and face region are odontogenic or arising in tissues that give origin to the teeth. Of these, approximately 70% present as inflammation around the roots of teeth, principally acute abscess that involves the tooth and bone. Continue reading →

Oral Submucous Fibrosis Part 2

COMMON SITES INVOLVED
Buccal mucosa, faucial pillars ,soft palate, lips and hard palate.
The fibrous bands in the buccal mucosa run in a vertical direction ,sometimes so marked that the cheeks are almost immovable.
In the soft palate the fibrous bands radiate from the pterygomandibular raphe or the faucial pillars and have a sear like appearance

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Oral Submucous Fibrosis Part 1

DEFINITION
(J.J Pindborg and Sirsat 1966)
It is an insidious chronic disease affecting any part of the oral cavity and sometimes the pharynx. Although occasionally preceded by and /or associated with vesicle formation ,it is always associated with juxta-epithelial inflammatory reaction followed by a fibro-elastic changes of the lamina propria with epithelial atrophy leading to stiffness of the oral mucosa and causing trismus and inability to eat.

First described among five East African women of Indian origin under the term Atrophia idiopathica (tropica) Mucosae Oris by Schwartz 1952
Joshi in 1953 is credited to be the first person who described it and gave the present term “Oral sub-mucous fibrosis”.
In the year 1954, Su. 1. P. from Taiwan described similar condition, which he called “Idiopathic Scleroderma of mouth”

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Odynophagia vs dysphagia

Definitions:

Dysphagia- sticking sensation or obstruction on swallowing

Odynophagia- pain on swallowing. It comes form the Greek words odyno– meaning pain and –phagia meaning swallowing.

These are often used incorrectly. Continue reading →