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All Journal Indian Journal of Forensic Medicine & Toxicology
Santosh Kumar Subudhi
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Public Health

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Etiologic Factors Influencing the Pattern of Mandibular Fractures – A Retrospective Study Sthitaprajna Lenka; Dharmashree. S; Pratikshya Kothai; Santosh Kumar Subudhi; Subrat Padhiary; Karishma Rathore
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14961

Abstract

Objectives: Fractures involving the face, especially the mandible causes aesthetic disfigurement and hampermasticatory function. Ever changing economic and population trends have caused a shift in the etiologicfactors responsible for mandibular fracture. This study records the epidemiology of the mandibular fracturesin Bhubaneshwar region of Odisha and to appreciate the importance of demographics and contribution ofindividual etiological factors towards such injuries.Methods: A retrospective study was conducted during between September 2013 to March 2017, in thedepartment of Oral and Maxillofacial Surgery, Institute of Dental Science. Patients admitted in the facilityfor the treatment of mandibular fractures were included in the study. The data was collected from patientrecords.Results: Out of a total of 197 patients, 90% affected were males, with 42.6% aged between 20-29 years. Themost common cause was Road Traffic Accidents (RTAs)with 83% and para-symphysis fractures was seenin 42.7%. Etiology was found to be influenced by gender using Chi-square (p < 0.05) and site of injury wasfound to highly significant with respect to age.Conclusion: Mandibular fractures were found to be associated with younger aged males and road trafficaccidents. This could be prevented with stringent and safer traffic regulations.
A Study to Evaluate the Analgesic Efficacy of Transdermal Diclofenac Sodium Patch in Minor Oral and Maxillofacial Procedure Pratikshya Kothai; Santosh Kumar Subudhi; Sthitaprajna Lenka; Subrat Kumar Padhiary; Satchidananda Meher
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14980

Abstract

Aims and Objectives: The aim and objectives of this study are to evaluate and determine the efficacy oftransdermal diclofenac patch in control of pain following Routine Extractions, Transalveolar extractions,Soft tissue biopsies, to evaluate any adverse reactions following the usage of the transdermal patch and torelate its efficacy to the gender, pre-surgical condition of the patient and time taken for the procedure.Materials and methods: A clinical study was done in the patients coming to the Oral and Maxillofacialsurgery department, Institute of Dental Sciences, SOA University. A total of 537 patients were selected fromour patients in Oral and Maxillofacial Surgery department who underwent routine extractions, Transalveolarextractions, Soft tissue biopsies etc.Results: 500 patients who underwent minor surgical procedures under local anaesthesia with adrenaline.The patient has then prescribed a diclofenac patch for analgesic purpose and the efficacy and tolerability ofthe patch was evaluated. Using SPSS software, statistical analysis was done. All the patients were evaluatedwith VAS scale and Wong baker scale on 1st day, 2nd day and 3rd day. The mean age of the patient is 28.2years and the mean value for the time taken for the procedure is 14.4 min.Conclusion: Transdermal patch can be effectively used for analgesic effect following minor oral surgicalprocedures of lesser duration. It is effective for the management of mild to moderate pain relief as it hasproved to be a good option as an analgesic especially in patients with gastric problems and for bettercompliance.
A Comparative Study of the Efficacy of Methylprednisolone Administration Route on Postoperative Sequelae Following Impacted Third Molar Extraction Bijayalaxmi Panigrahi; Santosh Kumar Subudhi
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14983

Abstract

Background: Surgery on the lower-impacted third molar typically includes injury to the heavily vascularizedloose connective tissue due to its anatomical location, leading to inflammatory sequelae during the immediatepost-operative stage, including postoperative pain, oedema and trismus.Aims: This prospective, randomized, comparative clinical study was conducted in 30 patients to assess pain,oedema and trismus in patients undergoing surgical removal of impacted third molars.Method: The study sample involves 30 patients, randomly categorized into 3 groups: group 1 (control;no steroids), group 2 (Intra-Muscular injection in Masseter muscle), group 3 (oral tablets). Patient agedbetween 18 and 30, with a similar anatomical position, and similar surgical difficulty, no allergies, withoutany systemic diseases are included. Syndromic patients, patients with periapical pathologies were excludedfrom the study. A single surgeon was working on all patients using a standard technique. On the 2ndand 7th postoperative day, linear oedema and maximal mouth opening were evaluated for both routes ofmethylprednisolone administration and compared.Results: We observed a higher range of mouth opening found in masseter injection group relative to theoral tablet group on Day 2 & 7, for the steroid treatment groups. On postoperative days 2 and 7, the overallincrease in the tragus-commissure, canthus-gonion and tragus-pogonion lines, for control & oral tabletgroups were identical and higher than the masseter injection group.Conclusion: Comparison to the control group following lower third molar surgery, intramassetric injectionprovided improved outcomes than tablet form in limiting oedema and trismus
Co-Authors Bijayalaxmi Panigrahi Dharmashree. S Karishma Rathore Pratikshya Kothai Satchidananda Meher Sthitaprajna Lenka Subrat Kumar Padhiary Subrat Padhiary