Subrat Kumar Padhiary
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Journal : Indian Journal of Forensic Medicine

Aggressive Adenomatoid Odontogenic Tumor of Maxilla involving Impacted Third Molar: A Rare Case Report Subrat Kumar Padhiary; Gunjan Srivastava; Satyabrat Patnaik MDS; Neeta Mohanty; Sourav Chandra B Bal
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.v15i2.14962

Abstract

Adenomatoid odontogenic tumor (AOT) is a rare tumor comprising about 2.2% to 7.1% of all odontogenictumors. It is a neoplasm of odontogenic origin having slow-growth rate, noninvasive and benign in nature.Here, we report a case of a young female patient who presented with an aggressive AOT in maxilla involvingthe impacted third molar. Usually, the treatment for AOT comprises of enucleation and curettage, whereasdue to the fast growth rate and aggressiveness of the lesion, subtotal maxillectomy was performed in thiscase. The authors have described about the clinical, radiographic, histopathological and surgical aspect ofthe case.
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.
Skeletal Bimaxillary Protrusion: Combined Surgical and Orthodontic Approach – A Case Report Subrat Kumar Padhiary; Kanhu Charan Sahu; Gunjan Srivastava; Harsh Mohan Pathak
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.v15i2.14985

Abstract

Bimaxillary protrusion is one of the commonly seen skeletal deformity in Indian population. This skeletalcondition is typically characterized by proclined and protruding anterior teeth with everted lips. If thiscondition is associated with macroglossia or any parafunctional habits like tongue thrusting or thumbsucking, an anterior open bite is often found. Minor discrepancies can be managed by orthodontic treatmentalone by extracting all first premolars and retracting the anterior segment. But in severe skeletal cases,orthognathic surgery along with pre-and post-surgical orthodontics is the best option to get the ideal result.This article describes the case of a female patient with bimaxillary protrusion. The patient had a convexprofile, anterior open bite, and incompetent lips. Chin had a relative deficiency with hyperactive mentalismuscle. On patients’ consent and willingness for a shorter course of the treatment period, surgery firstapproach was planned. Within seven months of the total treatment period, a remarkable change in facialprofile and a pleasing anterior occlusion was achieved.