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ClinicalstudiesoforalandmaxillofacialmanifestationinThalassemiafrompopulationofKarachi,Pakistan

ArticleinInternationalJournalofOralandMaxillofacialSurgery·October2015

DOI:10.1016/j.ijom.2015.08.116

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FaisalHameed

JinnahSindhMedicalUniversity

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e222 E-Poster Presentation

Objectives: To document diseases affecting paedriatic popula-tion in Pakistan (the problems and diseases in children differ fromadults in presentation, intensity and nature).

To develop Paedriatic Oral and Maxillofacial Surgery as a sub-specialty so that better treatment could be provided by specialist aspaedriatic population makes about 43.40 [30] percent of Pakistan’stotal population.

Methods: Study was conducted at oral and maxillofacialsurgery clinics of tertiary care teaching facilities. It was a descrip-tive, cross-sectional study which is survey based with studydesigning, data collection and data analysis duration of 2 yearsand 6 months. Paediatric population aged 0–17 years was includedin the study after diagnosis on basis of clinical and radiographicinvestigations.

Findings and conclusions: Total of 1011 patients wereincluded, showing male to female ratio of 1.5:1. Dental problemswere the leading cause of reporting to hospital in the age group3–17 years most frequently with caries being most common.

http://dx.doi.org/10.1016/j.ijom.2015.08.115

Clinical studies of oral and maxillofacial manifestation in Tha-lassemia from population of Karachi, Pakistan

S.M. Ali 1, S.M. Haider 2,∗, S.G. Hassan 3, F. Hameed 4, Z. Ali 1,S. Jaffery 5, S. Ahmed 1

1 Abbasi Shaheed Hospital, Karachi, Pakistan2 Karachi Medical and Dental College and Abbassi ShaheedHospital, Karachi, Pakistan3 Liaquat University of Health Sciences Jamshoro, Sindh,Pakistan4 Civil Hospital, Karachi, Pakistan5 Husaini Institute of blood diseases Karachi, Sindh, Pakistan

Background: Thalassemia is a worldwide disease. 5–7% ofPakistani population (approx 8–10 million) are carrying genes ofthis disorder.

It causes various abnormalities of different organs of patients.In Pakistan some work on other aspects of Thalassemia were car-ried out but no work on oral and maxillofacial manifestation hasbeen carried out, therefore present study has been under taken.

Objectives: To evaluate the prevalence of oral maxillofacialdisorders in Thalassemia patients.

Methods: A total 50 Thalassemia-major patient randomlyselected, out of them 35 were male and 15 were female betweenthe age group of 6–31 years from the Husaini institute of blooddiseases Karachi, Pakistan.

Results and findings: The most prominent features includedskull bossing seen in 80% of the patients, 90% depressed bridge ofthe nose, 50% pallor of oral mucosa, 90% intraoral pigmentationand 50% proclination of teeth. 25% splenomegaly, memelons 30%and cardiovascular changes were also commonly seen

Conclusions: This study showed that about 90% (45 cases) ofall patients under consideration and showed changes in oral andmaxillofacial manifestation and result are also confirm the resultreported from the other part of the world.

http://dx.doi.org/10.1016/j.ijom.2015.08.116

Clinical, social and emotional implications of oral cancer ther-apeutics in Karachi population

S.A. Matloob 1, S.M. Haider 2,∗, S. Ahmed 1, F. Hameed 2

1 Karachi Medical and Dental College and Abbassi ShaheedHospital, Karachi, Pakistan2 Civil Hospital, Karachi, Pakistan

Background and objectives: Oral cancer patients experiencemany problems before during and after the course of treatment.The aim of this master thesis is to evaluate the complications thatarise after its treatment according to the stage of oral cancer inorder to recognize the importance of therapeutic intervention atinitial stages.

Methods: A total of 101 oral squamous cell carcinoma treatedpatients selected from the consultant clinics of Abbasi ShaheedHospital and Karachi Medical & Dental College Karachi, to mea-sure the outcomes after treatment of oral cancer, the functionalassessment of cancer therapy (FACT H/N version 4) questionnairein Urdu has been used, FACT-H&N Scoring Guidelines (Version4) have been followed to score the completed questionnaires andSPSS-16 software is used for description.

Findings and conclusion: Post-operative complications do notshow any statistically significant difference at (p > 0.05) betweenoral cancer stage 1 and stage 2. But it has a significant differencebetween the initial stage (1 and 2) and advanced stage (3 and 4)at (p < 0.05).

Conclusions: We concluded that those patients who treatedat later stages suffered badly as compared to patients with earlystage.

http://dx.doi.org/10.1016/j.ijom.2015.08.117

The dento-osseous distraction method – an innovative tech-nique to manage ankylosed impacted maxillary canine

M. Halsnad 1,∗, G. Taylor 1, D. Boyd 1, R. Pilley 2

1 Department of Oral & Maxillofacial Surgery, UK2 Department of Orthodontics, University Hospital Crosshouse,Kilmarnock, Scotland, UK

Background: The majority of impacted maxillary canines(IMC) are managed with combined surgical and orthodontic extru-sion (CSOE) into dental arch. After an adequate exposure ofIMC with unsuccessful CSOE, the treatment options are gen-erally limited to extraction with space closure or implant basedrestoration with bone grafting.

Objectives: Authors aim to demonstrate the technique of asingle tooth dento-osseous distraction (STDD) of upper right IMCby using a modified intra oral distractor to manage a failed CSOEcase.

Methods: A 23-year-old male with failed CSOE for his rightIMC was investigated with CT scans and the tooth was found anky-losed. Under general anaesthesia a single tooth osteotomy wasdone with minimal access and a modified micro-distractor waspositioned. After 4 days of latency period the osteotomy segmentwith canine was successfully distracted with the canine taking upa satisfactory position into maxillary arch in ten days. After theconsolidation period the distractor was removed and after comple-tion of fixed orthodontics the canine was found to be stable withgood functional and aesthetic result at 1 year follow-up.

Conclusions: The STDD technique has been reported for cen-tral incisors1 but its not well-documented option for IMC. From

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