Ajay Pillai

Oro-dental findings in Bardet–Biedl syndrome

The Bardet–Biedl syndrome (BBS) is a human genetic disorder with an array of clinical features affecting many body systems. BBS is a pleiotropic disorder with mostly monogenic causes. It is also considered a primary ciliopathy syndrome. It is characterised by obesity, pigmentary retinopathy, polydactyly, mental deficiency and hypogonadism and recently a sixth feature, renal disease, has also been described. Since none of the diverse symptoms of BBS by itself is diagnostic of the disorder and many of the symptoms only become apparent over time, diagnosis of the BBS is often delayed until about 9 years of age when visual problems first appear.

Incidence of impacted third molars: A radiographic study in People's Hospital, Bhopal, India

OBJECTIVES The aim of this study is to evaluate the position of impacted third molars based on the classifications of Pell & Gregory and Winter in a sample of Bhopal patients. STUDY DESIGN In this retrospective study, up to 1100 orthopantomograms (OPG) of the patients who were reported to the MaxilloFacial Department of PDA and Chowdhary hospital from January 2011 to December 2012 were evaluated. RESULTS Among 1100 patients, 730 were male and 370 were female patients. Of the 1100 OPGs studied, 3,910 third molars were noticed either impacted or erupted and 490 third molars were missing. The most common angulation of impaction in the mandible was in vertical position (41.4%) followed by mesioangular impaction (33.3%) and the most common angulation of impaction in the maxilla was the vertical (67.4%) which was followed by 15.2% in distoangular impaction. The level of eruption of impacted third molar was found to be 43.9% at level A, 34.8% at level B and 21.3% at level C. There was no significant difference between the right and left sides in both the jaws. CONCLUSION The pattern of third molar impaction in the region of Bhopal is characterized by a high prevalence of impaction, especially in the mandible. The most common angulation was the vertical in the mandible as well as in the maxilla. The most common level of impaction in mandible was level A and in maxilla is level C and there was no any significant difference between the right and left sides in both jaws.

Idiopathic facial swelling secondary to sickle cell anaemia

Sickle cell disease is a common inherited autosomal disease that is characterised by abnormally shaped (sickle-shaped) red blood cells (RBCs). It can involve virtually any organ system. The clinical manifestations of sickle cell disease vary and are classified as vaso-occlusion, chronic anaemia and infection. The imaging appearances of central nervous system and musculoskeletal involvement by sickle cell disease have been well documented; however, involvement of the head and neck region is often unreported, although it is not uncommon. In the head and neck, sickle cell disease can involve the inner ears, orbits, paranasal sinuses, bones, lymph nodes and vessels. This paper describes a case of idiopathic facial swelling associated with sickle cell disease in a young patient.

Use of 3-D printing technologies in craniomaxillofacial surgery: a review

Three-dimensional (3-D) printing is a method of manufacturing in which materials like plastic or metal are deposited onto one another in layers to produce a 3-D object. Because of the complex anatomy of craniomaxillofacial structures, full recovery of craniomaxillofacial tissues from trauma, surgeries, or congenital malformations is extremely challenging. 3-D printing of scaffolds, tissue analogs, and organs has been proposed as an exciting alternative to address some of these key challenges in craniomaxillofacial surgery. There are four broad types of 3-D printing surgical applications that can be used in craniomaxillofacial surgery: contour models (positive-space models to allow preapplication of hardware before surgery), guides (negative-space models of actual patient data to guide cutting and drilling), splints (negative-space models of virtual postoperative positions to guide final alignment), and implants (negative-space 3-D printed implantable materials or 3-D printed molds into which nonprintable materials are poured). 3-D printing technology is being successfully used for surgeries for head and neck malignancies, mandibular reconstruction, orthognathic surgeries, for mandibulectomies after osteoradionecrosis, orbital floor fracture surgeries, nasal reconstruction, and cranioplasties. The excitement behind 3-D printing continues to increase and hopefully will drive improvements in the technology and its surgical applications, especially in craniomaxillofacial region. This present review sets out to explore use of 3-D printing technologies in craniomaxillofacial surgery.

Papillon - Lefevre Syndrome - A Brief Review of Diagnosis & Management

Reader, Dept. of Maxillofacial Pathology,R.V.S Dental College & Hospital. Coimbatore.India 2,4 Reader, Dept. of Maxillofacial surgery. Peoples Dental Academy, Peoples University, Bhopal. India. H.O.D. Dept of Peadodontics & Preventive Dentistry. Peoples Dental Academy, Peoples University, Bhopal. India. Post graduate student, Dept. of Public health Dentistry, Peoples Dental Academy, Peoples University, Bhopal. India. Post graduate student, Dept. of Peadodontics & Preventive Dentistry, Peoples Dental Academy, Peoples University, Bhopal. India.

Juvenile psammomatoid Ossifying Fibroma

Ossifying fibromas are uncommon benign lesion with aggressive local growth. These tumors thought to originate from the periodontal ligament. WHO 2005 classified juvenile ossifying fibroma (JOF) into juvenile psammomatoid ossifying fibroma and juvenile trabecular ossifying fibroma. These tumors must be treated by radical excision to prevent recurrence. We report a case of JOF of psammomatoid pattern in a 12 year old boy, the treatment was radical en bloc resection.

Neurofibroma of Spindle Cell Origin, a Diagnostic Dilemma to General Dentist.

India.) Abstract: Neurofibromas arise from a mixture of cell types including Schwann cells and perineural fibroblasts. They may occur as solitary lesions or in association with neurofibromatosis. Although most commonly reported in soft tissues, neurofibromas do occur in bone. And very few cases have been reported in association with the inferior alveolar nerve. We report a case of neuro-fibroma of spindle cell origin associated with the inferior alveolar nerve in a 22 year old man. Pain or paresthesia may result from lesions of the inferior alveolar nerve. Patients presents with cortical expansion. Intra-osseous lesions may produce a well demarcated or poorly defined unilocular or multilocular radiolucency. Adjacent soft tissue neurofibromas may produce cortical erosion. Solitary neurofibromas and those found in association with neurofibromatosis share the same microscopic features 1 . The tumor is composed of spindle-shaped cells with fusiform or wavy nuclei in a delicate

An dentigerous variant of ameloblastoma in mandible - An unusual case report and review of literature.

Ameloblastoma is a true neoplasm of odontogenic epithelial origin. It is the second most common odontogenic neoplasm, and only odontoma outnumbers it in reported frequency of occurrence. Its incidence, combined with its clinical behaviour, makes ameloblastoma the most significant odontogenic neoplasm. Unicystic ameloblastoma (UA) refers to those cystic lesions that show clinical, radiographic, or gross features of a mandibular cyst, but on histological examination, it showed a typical ameloblastomatous epithelium lining part of the cyst cavity, with or without luminal and/or mural tumor growth. It accounts for 5-15% of all intraosseous ameloblastomas. We report a case of unicystic ameloblastoma in a 16-year-old female, and review the literature.

Aneurysmal Bone Cyst Plus In an 8 Year Old Female, A Case Report.

1 Swapnil Moghe, 2 Nitin Saini, 3 Ajay Pillai, 4 Anjali Moghe, 5 Kavita Pillai 1 (Assistant Professor, Department of Oral & Maxillofacial Surgery, Peoples Dental Academy, Bhopal, India) 2 (Assistant Professor, Department of Oral & Maxillofacial Pathology, D.A.V (C) Dental college, Yamunanagar, India) 3 (Associate Professor, Department of Oral & Maxillofacial Surgery, Peoples Dental Academy, Bhopal, India) 4 (Lecturer, Department of Oral Medicine & Radiology, Peoples Dental Academy, Bhopal, India) 5 (Dental Surgeon, Bhopal, India)

Prosthetic rehabilitation of palatal perforation in a patient with ‘syphilis: the great imitator’

Syphilis is a sexually transmissible disease caused by treponema palladium, a microaerophilic spirochete. Syphilis may progress from primary to tertiary stage if left unnoticed and untreated. Dentists should be vigilant and suspect sexually transmitted infections such as syphilis in the differential diagnosis of oral inflammatory or ulcerative lesions with palatal perforation. Moreover, it is imperative that dentists should have knowledge about its stages, characteristic features, oral presentation and prosthetic rehabilitation. This case report describes a case of tertiary syphilis with palatal perforation and the prosthetic rehabilitation of the defect with a prosthetic obturator.