Background and Purpose: Fractures of mandible frequently result in inferior alveolar nerve (IAN) injury and altered neurosensory function. This may be due to primary injury which lies in the line of fracture or a secondary insult due to manipulation at the time of fixation of the fracture. The purpose of this study is to measure post-injury/pre-treatment and immediate postoperative IAN sensory changes during the management of mandibular fractures and to identify risk factors for adverse perioperative IAN neurosensory changes. Materials and Methods: This study was conducted on the patients admitted in the Department of Oral and Maxillofacial Surgery, Bapuji Dental College and Hospital, Davangere. Fracture location was divided into two categories as Fracture location 1 (L1) which was between the lingula and mental foramen which place the IAN at direct risk for injury & Fracture location 2 (L2) included fractures distal to the mental foramen. In these cases, the IAN is out of the bone and hence at risk for injury indirectly (i.e., via soft tissue trauma). Treatment was rendered in a non-randomized manner by the surgeon. To assess neurosensory function, protocol described by Zuniga and Essick will be used. All the required parameters were measured & recorded pre-operatively & post-operatively. Results: The results of the present study showed that fracture displacement of more than 4 mm at L1 site & excess manipulation of soft tissues at L2 site was associated with Significant Neurosensory Deficit. Conclusion: Identifying the factors associated with poor long term outcome of NSD would need a larger sample size and detailed documentation of the use of various diagnostic tools to arrive at a conclusive observation.

An epidermoid cyst or epidermal inclusion cyst is a benign cyst usually found on the skin. The slow growing benign cysts develop out of ectodermal tissue. Epidermoid cyst may have no symptoms, or it may be painful when touched and release macerated keratin. The treatment of epidermoid cyst is surgical removal with entire removal of capsule to minimize the recurrence or minimize the chance of malignant transformation. Here we report a case of a 64 year male old patient with epidermoid cyst in forehead, total surgical resection of the cyst was done in department of Oral and Maxillofacial Surgery in K.D. Dental College and Hospital with optimal exposure to avoid recurrence.

Background: Oral candidal infections are predominantly caused by Candida albicans. There are multiple clinical presentations of oral candidiasis. Main observations: We describe two cases of atypical clinical manifestations of oral candidiasis. Patients presented with white reticular plaques, painful ulcers, erosions, and significant oral mucosa atrophy mimicking oral lichen planus. Histopathological findings are detailed. Conclusions: To our knowledge, this is a novel clinical presentation of oral candidiasis, and we propose to consider this variant, particularly in patients with predisposition to develop chronic oral candidiasis.

Background: Intravascular papillary endothelial hyperplasia, also known as Masson’s tumor, is a reactive benign lesion of vascular origin. Only few cases have been reported in the literature and the clinical features may mimic other benign and malignant lesions, making the clinical diagnosis challenging. Main observations: We report an uncommon case with detailed clinical findings affecting the oral cavity. Conclusions: We present an exceptional case of intravascular papillary endothelial hyperplasia. The oral mucosa is commonly affected by vascular lesions so it is worthy to consider intravascular papillary endothelial hyperplasia in the differential diagnosis.

Intellectual Disabilities (ID), involves impairment of cognition and adaptive/functional skills. There are three criteria that must be present for diagnosis of ID: Intellectual functioning deficit, significant limitations in adaptive functioning and evidence that the limitations became apparent during the developmental period. ID patients comprise 2-3% of the general population. Some studies show that people with ID have worse oral hygiene, increased tooth decay and also a worse periodontal condition than the general population. The techniques that allow the management and clinical dental treatment of patients with ID are: behavioral management, which is more used in patients with mild or Moderate ID in which a minimum degree of communication can be established. The physical restriction is used in any degree of ID that requires it to avoid injuries during dental treatment. Sedation is used in patients with Severe ID unable to cooperate and finally general anesthesia, which should be used when all the previous techniques have failed, either in the case of a long and complex treatment or in patients with Profound ID. As a result presents the alternatives to the professional can address individually patient, taking into account the degree of ID, thus able to improve their quality of life.

Background and Rationale: Children’s behavior at the dental office is an area to be focused as a premier or primary priority which will simulate better behavioral patterns. Children’s imagination has no limits or boundaries, thereby the Pediatric dentist needs to curtail their unforeseen imaginations and put them on the right track before they develop into mal adaptive behavior. Aim: The present study aims to assess the parents’ perception in this grey area which will enable the child to instill a positive mindset towards dental care. This aspect can be enhanced by working on the emotional intelligence perspective. Methodology: Parents who visited the Out- Patient Department of SRM Dental College were selected and recruited as study participants according to the prescribed protocol by following the appropriate guidelines. Study design used was Questionnaire survey. They were approached at the dental operatory and asked to give their responses to a newly developed validated tool, by way of face-face personal interview manner. Results: The present study was undertaken to determine the parents’ perception on the childrens’ dental anxiety status. The sample size for the study was 364, out of which 182 (50%) were males and 182 (50%) were females. Age distribution was children below 14 years. Conclusion: Within the limits of the current study, it can be concluded that the behavior based PAQ was effective in acquiring knowledge, such that we can develop new skills to master those nuances in an effective manner towards the betterment of Pediatric community, which consecutively will pave the way for modified behavioral cognitions in future.

The pulp-dentin complex regenerates the damaged coronal dentin, resorbed root, cervical or apical dentin. Regenerative procedures are to be done with the use of tissue engineering materials, stem cells and suitable biochemical factors that will enhance or replace biological functions. Largely the objective of tissue engineering is the functional restoration of tissue structures. Clinical applications depends on the use of a potential material which would be anti-inflammatory, antibacterial and can simultaneously enhance the proliferation and induce the differentiation of the present Dental Pulp Stem Cells (DPSC) into odontoblast-like cells leading to dentin formation. Formation of a reparative dentin layer would provide an optimal barrier to avoid any bacteria infiltration to the pulp tissue, which is not provided by any artificial restorative materials. So application of a scaffold on an open pulp enabling odontoblast-like cells to grow into the scaffold and to convert it into dentin would be an ideal goal. Regenerative endodontics comprises research in adult stem cells, growth factors, organ-tissue culture, and tissue engineering materials.