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The appropriate mode of anesthetic modality is one of the most important steps in planning for impacted tooth surgery. General anesthesia comes with a lot of privileges, but at the same time, it is known for its side effects. We can see a constant use of general anesthesia when multiple impacted teeth are extracted on the same day. Sometimes patients request general anesthesia because of anxiety issues. Other scenarios are when impacted teeth are placed complexly in the socket that the clinicians themselves opt for the administration of general anesthesia. The study was carried out in a university setting where we reviewed and analysed 791 patient records between June 2019 and March 2020. Ethical approval was obtained from the scientific review board. The collected data was compiled, reviewed, tabulated, and exported to SPSS software for statistical analysis. A statistically significant data was not obtained from the study, but the data has remarkable clinical significance. It is found that a slight male predilection is seen, and all the cases were done under general anesthesia when there were multiple impactions involved. Within the limitations of the study, it has been found that most of the general anesthesia administrations were done when multiple impaction surgeries were involved and more common in the second and third decade of life.

Surgical Site Infections (SSIs) are one of the most common complications of any intervention in the maxillofacial region. Most of the times sutures used for wound approximation act as a nidus of bacterial accumulation and subsequent infection due to the presence of scores of microbes in and around the oral cavity. This has been attributed to the wicking action associated with braided sutures. Various methods to prevent surgical site infections are reported in literature, the most recent being use of antibacterial coated sutures. Sutures are either coated with triclosan or chlorhexidine or a combination of anti-microbial agents and fatty acids. These sutures are known to have a significant role in the prevention of SSIs elsewhere in the body, but the role in oral cavity remains questionable. This study aims to establish the role of chlorhexidine coated sutures in the prevention of surgical site infections if any. Chlorhexidine-coated and uncoated suture materials were used in 17 patients undergoing third molar extractions. Seven days post-operatively the sutures were removed, and bacteria were isolated. Following which colony-forming units (CFU/ml) were counted. Concerning the total number of oral pathogens, that adhered to suture material, no reduction was demonstrated for Chlorhexidine coated sutures. The use of chlorhexidine-coated suture material offers no advantage in intraoral surgery.

Society imparts great importance to physical appearance in this modern age. The physical and psycho-social impact of a dentofacial deformity on an individual is often impossible to assess with certainty. A facial deformity can profoundly affect the quality of life and thereby entailing lifelong adjustments. Facial aesthetics affect an individual's confidence and their overall acceptance in society, which in turn has an apparent effect on their quality of life. Corrective jaw surgeries are indicated in cases not amenable to produce acceptable post-treatment results with orthodontics alone. Orthognathic surgery aims to produce a more aesthetic facial appearance and strives to improve stomatognathic functions in the process. WHO defines Quality of Life as- An individual's perception of their position in life in the context of the culture and value systems in which they live and concerning their goals, expectations, standards and concerns. It is a broad-ranging concept affected in a complicated way by the person's physical health, psychological state, level of independence, social relationships, personal beliefs and their relationship to salient features of their environment. The impact of dentofacial deformities on an individual's holistic emotional, physical and social development has been a focus of research for a long time. Several patients reported outcome scales are employed to assess the quality of life and this review aims to discuss the use of these scales as an indicator of successful surgical treatment. At the same time, these scales may serve as a patient education tool because a holistic health indicator is required which considers the psychological well being of the patient along with regards to functional and aesthetic demands before formulating a surgical treatment plan.

The frenum has its origin from the remnant of central cells of vestibular lamina which predominantly has connective tissue and least amount of muscle fibers. Labial frenum is a vertical band of oral mucosa that attaches the cheeks and lips to the alveolar mucosa of the mandibular and maxillary arches, limiting the movement of the lips and cheeks. The aim of the study was to find out the prevalence of the type of maxillary labial frenal attachment among 18-30 years. The present retrospective study was conducted among 100 outpatients who reported to a private institution in Chennai from June 2019 to March 2020. Data regarding the type of frenal attachment was collected and analysed. From our current study, it was found out that out of 100 patients, 41% had a gingival type, 27% had a mucosal and papillary type, 5% had the papillary penetrating type of maxillary labial frenal attachment and there was no significant association between gender and type of frenal attachment (Pearson Chi-Square test - 1.105, df-3, p value - 0.776(>0.05); statistically not significant). Within the limitations of the present study, the most prevalent type of maxillary frenal attachment in the given population was a gingival type. Least prevalent type was papillary penetrating and there was no significant association between gender and type of frenal attachment.

Oral and pathology infers all the diseases of the mouth and structures related to the mouth inclusive of salivary glands, joints (TMJ), facial muscles and skin. Management of oral and pathology remains one of the most universally performed procedures by oral and surgeons. Lesions of the oral and region are a group of heterogeneous diseases with a wide spectrum of characteristics. Predictability of lesions helps in rightly predicting, diagnosing, treating and eliminating that arise in the oral cavity. The aim of this study is to determine the frequency of oral and encountered in a single institution. This is a single retrospective study done from June 2019 – March 2020. Sixty-five patients who were diagnosed with a pathology pertaining to the oral and region were considered. Lesions were grouped as a cyst, tumors, infections, salivary gland and others for better understanding and interpretation. The parameters examined and processed with relevance to oral and pathology were type of lesion, age and gender of the patient. IBM SPSS Version 20 was used for statistical analysis. Out of a total of 65 patients considered with oral and pathological lesion requiring surgical management, the most common type of pathology was a cyst (40.0%) followed by tumors (21.5%). Gender predilection for oral and pathology was evident with greater incidence among males (63.1%) with p value = 0.049 < 0.05, by chi square test and in an age group of 21-30 years (30.8%) with p value = 0.044 < 0.05 by chi square test. This study concludes to establish the predominance of oral and that arise in the age group of 21-30 years with a gender preference to males over females. The most common pathology was cysts, followed by tumors with cyst (53.8%) and (35.7%) being most common in their respective pathological genre.

A furcation is defined as ‘‘the anatomic area of a multirooted tooth where the roots diverge’’and furcation invasion refers to the ‘‘pathologic resorption of bone within a furcation. Many classifications were derived to classify furcation. The aim of the current study was to assess the prevalence of furcation involvement among periodontitis patients. The retrospective study was done among the outpatients of saveetha dental college and hospitals, chennai from june 2019 to march 2020. Periodontal data of adult patients aged between 18-70 years, were collected from the patient records. The data then analysed and interpreted using ibm,spss software version 20, california. Male predilection was observed in relation to furcation involvement. the prevalence of furcation involvement among patients with periodontitis was 38%. maxilla had an increased furcation involvement than the mandible. Grade I furcation was the most commonly observed type of furcation with 6mm loss of attachment approximately.maxillary arch was more involved than mandible.

Maxillary skeletal deformities can occur in all three planes and are corrected by orthognathic surgery. Osteotomies form the basis for orthognathic surgeries. One of the most commonly used osteotomy techniques for maxillary skeletal deformities is the LeFort osteotomy. The aim of this study was to compare the application of One Piece LeFort Osteotomy and Segmental Osteotomy procedures in the treatment of maxillary skeletal deformities. The institutional study involved analysis of case sheets of patients who underwent surgical correction of maxillary skeletal deformities in the stipulated time frame and assessment based on the parameters: Demographic data, type of cephalometric analysis, cephalometric values, type of skeletal deformity, and technique of Osteotomy. Statistical analysis was calculated by chi-square test. A p-value