Concluded Case

What is the Diagnosis, what will be the treatment plan

Pt c/o pain , swelling and restricted mouth opening since 1 week ..... Chief Complaints Pt c/o pain , swelling and restricted mouth opening since 1 week History History of metallic pin insertion 3 yrs ago Physical Examination On Examination swelling on left side of face extending from corner of mouth to angle of mandible and swelling is painful, mouth opening is restricted to 2finger only, left side face has numbness since 4-5 month..... Horizontal impacted 38 ... Investigations Adv for:- OPG CT scan Diagnosis P/D :- O.K.C.

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Concluded answer

Our Treatment plan for this case is extraction of 2nd & 3rd molar along with excavation of cystic lesion properly and removal of metallic pin after surgical aspect medications for proper healing..... Biopsy report of cystic lesion confirmed it as O.K.C.

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? MANDIBULAR MASS.. ? UNDERLYING BONE..SOFT TISSUE PATHOLOGY OF MANDIBULAR.. NEED'S.. HISTOPATHOLOGICAL STUDY..BIOPSY..

Tnx Dr Surbhi Bansal
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PROVISIONAL DIAGNOSIS... ...O. K. C.. ADVISABLE... 1. H. P. E. AND. ALL. ROUTINE. EVALUATION.. 2. BLOOD /. PUS / URINE..... SAMPLES.. FOR ... CULTURE. AND. SENSITIVITY. TESTS..... 3. START INITIALLY.... I / V.... MEDICATIONS. ... CEFOTAXIME. ..1 gm. TWICE. A. DAY ... GENTAMICIN....80 mg... TWICE. A. DAY.. .. INJ. DICLOFENAC. SOD... ...S O S.. 4. .... AFTER. THREE. DAYS. OF. MEDICATIONS.... A).. ..LOCAL. ANAESTHESIA. WITH INFILTRATIONS. ... AROUND. . .THE. PERIPHERY. OF. THE. CYSTIC. LESION. .... B). ....INCISION. AND. CREATING WINDOW..... C). ... EXTRACTIONS. . OF. 2 ND. AND. 3 RD. MOLARS ... D). ... COMPLETE. . EVACUATION. OF. CONTENTS. OF....THE. LYTIC CAVITY..... E) ....POVIDONE- IODINE. GAUZE. FOR 24. HRS F) ... IODOFORM. GAUZE... ..WEEKLY.. G). . .REST. OF. THE. TREATMENT... AS. PER. THE. INVESTIGATION. REPORTS...

@ DR. ANURAG. SHARMA. JI... WELCOME AND REGARDS...
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First time seeing such a case.. how did he insert it exactly .. doc do let us know the treatment plan for sure once you get it

Sure doctor
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Our Treatment plan for this case is extraction of 2nd & 3rd molar along with excavation of cystic lesion properly and removal of metallic pin after surgical aspect medications for proper healing..... Biopsy report of cystic lesion confirmed it as O.K.C.

FNAC to reach the diagnosis

Evaluate the condition of 37,it can be seen that the distal aspect of the root surface is affected by the horizontally impacted molar...also please ask for the reason for the insertion of metallic pin....the opposing 8 seems to be supra erupting as well please correlate it clinically. As 38 is lying partially withing the angle of mandible and the lesion is presented very close to lower border of mandible.....what are the other signs and symptoms that are being present .....are there any other investigations that are being made.....the surgical extraction of 38 is must but prior to that there is need to confirmation for the the lesion and the cause of placement of the metallic pin as it is lying in the lesion itself

Impacted 8 extract 8

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