Journal of Bangladesh College of Physicians and Surgeons
Fear is expressed as an unpleasant emotion caused by threat of danger, pain and harm. Anxiety is ... more Fear is expressed as an unpleasant emotion caused by threat of danger, pain and harm. Anxiety is an emotional state of a person such as doubt, mental-conflict, and disappointment. Phobia is persistent, unrealistic and intense fear of a specific stimulus, leading to absolute avoidance of the perceived danger. Corah’s Dental Anxiety Scale (CDAS), Modified Dental Anxiety Scale (MDAS), and Dental Fear Survey (DFS) are the tools to assess fear and anxiety. Dental fear and anxiety can be managed by change in dental set up and office environment, improving communication skill of practitioner and trust building among patients. Other approaches like behaviour-management techniques e.g., technique of relaxation, attention distraction, hypnotherapy, positive reinforcement, systematic desensitization and pharmacological management e.g., general anaesthesia and conscious sedation are also used to prevent and treat dental fear and anxiety in dental practice. J Bangladesh Coll Phys Surg 2022; 40: ...
Journal of Bangladesh College of Physicians and Surgeons, 2020
Oral health professionals are at high risk of developing COVID-19 infection due to their practice... more Oral health professionals are at high risk of developing COVID-19 infection due to their practice of close proximity to the patients. Patients in daily dental practice can be seen with basic protection protocol. Routine and elective dental procedures should be cancelled during this pandemic situation and could be rescheduled when the situation eases. In practice, as of universal prevention strategy, all patients should be assumed as COVID-19 infected and treated accordingly. Adequate standards of hygiene and protection should be adopted for all patients to avoid potential transmission risks. During the COVID-19 pandemic, it would be crucial to categorize oral and maxillofacial surgery cases into: emergency case, urgent case, intermediate case and low priority cases. While there has been a growing literature suggesting the aspect of critical care associated in treating these patients, ample of evidence indicates how this COVID-19 pandemic will affect surgical practice. Here we highli...
Journal of Bangladesh College of Physicians and Surgeons, 2017
Temporomandibular joint dysfunction is a complex and multifactorial disorder of oro-facial region... more Temporomandibular joint dysfunction is a complex and multifactorial disorder of oro-facial region. It is one of the most common disorders in maxillofacial region. The usual complain of the patients with this syndrome are pain in the area of the jaw and associated muscles, eating problem, chewing and locking of the jaw. It is more common in female than male. Its etiology is not yet well established. However its successful management depends on identification and controlling of the etiological factors.J Bangladesh Coll Phys Surg 2017; 35(3): 133-141
Journal of Bangladesh College of Physicians and Surgeons, 2020
Oral submucous fibrosis (OSMF) is a complex, debilitating, and precancerous condition. Formerly r... more Oral submucous fibrosis (OSMF) is a complex, debilitating, and precancerous condition. Formerly restricted to the Indian subcontinent, it is now frequently seen in the Asian communities of the United Kingdom, the United States, and other developed countries, and thus constitutes a severe global health problem. Areca-nut, the well-known causative agent of the disease, is now recognized as a group one carcinogen. Several grading systems and management protocols have been published in the literature to deal with this progressive disease.Despite the numerous medical methods used in oral sub mucous fibrosis management, sometimes surgical intervention becomes inevitable. Here, we extensively reviewed existing literature to discuss about incidence, presentation, aetio-pathogenesis, medical and surgical management with outcome of OSMF J Bangladesh Coll Phys Surg 2020; 38(3): 135-144
Journal of Bangladesh College of Physicians and Surgeons, 2019
The aim of this study was to determine the pattern of individual traits of malocclusion, includin... more The aim of this study was to determine the pattern of individual traits of malocclusion, including sagittal molar relationship, overbite, overjet, crowding, spacing, cross bite, missing tooth, impacted tooth and extra tooth of upper and lower jaws in patients attended in Orthodontic Department of a Tertiary Level Hospital. This cross-sectional study included orthodontic patients who visited the department of Orthodontics and Dentofacial Orthopedics in Sapporo Dental College and Hospital from January 2013 to February 2018. Among the study population comprised of 371 patients the females were 57.1% and the males were 42.1%.Among them, 6.7% belonged to 6 to 11 years, 20.5% belonged to 12 to 17 years and the remaining 72.8% were of 18-35 years of age . Angles Class I malocclusion was seen to be the most prevalent (64.2%). In incisor classification, Class I malocclusion was seen to be the most prevalent (38.3%). Increase in overjet, deep overbite, crossbite, crowding and spacing were fou...
Sturge Weber Syndrome (SWS) or Encephalotrigeminal Angiomatosis is specifically a rare non heredi... more Sturge Weber Syndrome (SWS) or Encephalotrigeminal Angiomatosis is specifically a rare non hereditary congenital sporadic disorder of elusive etiology. It belongs to a group of disorders collectively known as the phakomatoses ("motherspot" diseases). It has a vast continuum of cutaneous, neurologic, ophthalmic and oral manifestations. It consists of congenital hamartomatous malformations that may affect the eye, skin, and central nervous system (CNS) at different times, characterized by the combination of venous angiomas of leptomeninges, face, jaws and oral soft tissues. The classic pathognomonic features of disease include angioma of the leptomeninges extending to cerebral cortex with ipsilateral angiomatous lesions, unilateral facial nevus after one division of trigeminal nerve and epileptic convulsions. The most characteristic oral manifestation is represented by gingival hemangiomatous lesion usually restricted to ipsilateral maxilla or mandible. We report a case of Sturge Weber Syndrome with its characteristic oral manifestations and review of relevant prevailing literature.
International Journal of Oral and Maxillofacial Surgery, 2013
Background and objectives: rhBMP-2 has been used in maxillofacial reconstruction since 2007 and a... more Background and objectives: rhBMP-2 has been used in maxillofacial reconstruction since 2007 and appears to be one the most promising biomaterial. The main advantage was the shortening operation time, absence of donor site morbidity and shorter hospital stay. This study report the off-label use of rhBMP-2 for the management of non-union complications after orthognathic surgery. Materials and methods: A case review was made of 3 patients who developed non-union of the jaws after Le Fort I and sagittal osteotomies. Two patients had non-union of the mandible and one patient had non-union of the maxilla. The rhBMP-2 with a collagen carrier was used with and without the association of autogenous bone to graft the non-union site. Results: All of the cases reported had successful osseous restoration of the non-union site. Bone formation could be seen at the end of 90 days by clinical and radiograph assessments. The patients progress with stability of the jaws and occlusal functions restored. Conclusion: This study indicated that the rhBMP-2 played an important role in the reconstruction of the non-union surgical sites after orthognathic surgery and can be an alternative method of treatment that reduce surgical morbidity.
Class II malocclusion is the condition in which the mandibular first molars occlude distal to the... more Class II malocclusion is the condition in which the mandibular first molars occlude distal to the normal relationship with the maxillary first molar. The etiology of class II malocclusion varied between skeletal, soft tissues, dental factors and habits. Skeletal class II could be because of protrusion of maxilla, retrusion of mandible and combination of both. The treatment modalities of any skeletal problem include Growth modification, Dental camouflage and Orthognathic surgery. The optimal time for treatment of patients with Class II malocclusions therapy should be initiated at the beginning of cervical vertebrae maturation stage CS3 to maximize the treatment effects. Age of treatment is approximately 8-14 years. The growth modification of moderate to severe skeletal class II malocclusion can be done by head gear, bionator, activator, twin block, herbest appliance, Frankel II regulator. The ultimate goal of growth modification depends on treatment timing, length of treatment, worki...
Bangladesh Journal of Orthodontics and Dentofacial Orthopedics, 2013
Reported case is of a 9-year-old-girl with unerupted malposed upper right central incisor, which ... more Reported case is of a 9-year-old-girl with unerupted malposed upper right central incisor, which was treated by sequential surgical exposure and fixed orthodontic treatment. The tooth was aligned in the dental arch with accepted aesthetic and functional satisfaction of the patient. DOI: http://dx.doi.org/10.3329/bjodfo.v1i2.15986 Ban J Orthod & Dentofac Orthop, April 2011; Vol-1, No.2, 16-17
Journal of Bangladesh College of Physicians and Surgeons, 2012
Not available DOI: http://dx.doi.org/10.3329/jbcps.v29i4.11348 J Bangladesh Coll Phys Surg 20... more Not available DOI: http://dx.doi.org/10.3329/jbcps.v29i4.11348 J Bangladesh Coll Phys Surg 2011; 29: 244-245
Journal of Bangladesh College of Physicians and Surgeons, 2007
The reported case is a 10-year-old boy presented with a hard, non-tender, expansive swelling of t... more The reported case is a 10-year-old boy presented with a hard, non-tender, expansive swelling of the right mandibular body of 4 years duration. The case was diagnosed as ameloblastic fibro-dentinoma and enucleated through intra-oral approach. No recurrence was found in 39 months follow up.
A cross sectional study of 29 cases of oral squamous cell carcinoma with or without cervical lym... more A cross sectional study of 29 cases of oral squamous cell carcinoma with or without cervical lymph node metastasis was done among Bangladeshi patients from January 2006 to December 2007. Majority of the study subjects (34.5%) belonged to the age group of 40-49 years. 58.6% of the study subjects were male, while remaining 41.4% of them were female. 51.7% of the lesions were located in the alveolar ridge where the other common sites were buccal mucosa (27.6%) and retro molar area (13.8%). Half of the study subjects (51.7%) were habituated to betel quid chewing followed by 37.9% and 10.3% were habituated to smoking and betel quid-smoking respectively. Grade I lesions was most prevalent (75.9%) in the study subjects. Majority of cases presented with Stage IV lesions (55.2%). The sensitivity, specificity, positive predictive value, negative predictive value & accuracy of clinical palpation method for determining metastatic cervical lymph nodes were 93.33%, 64.29%, 73.68%, 90% and 79.3%...
Oral Histoplasmosis is a deep fungal infection may present as oral ulceration and can be confused... more Oral Histoplasmosis is a deep fungal infection may present as oral ulceration and can be confused with oral mucosal malignancies, tuberculosis and other fungal diseases. It mostly affects individual having immunodeficiencies like tuberculosis and AIDS, but may also affect immunocompetent individuals. Here we presented a case of oral histoplasmosis with previously treated pulmonary tuberculosisand was treated by oral itraconazole. Complete disappearance of oral ulceration was evident following four weeks treatment and the patient is in regular follow up with maintenance therapy for last ten months. DOI: http://dx.doi.org/10.3329/medtoday.v25i2.17931 Medicine Today 2013 Vol.25(2): 99-102
Journal of Bangladesh College of Physicians and Surgeons, 2007
This case report is of a 65-year-old man with two large soft tissue swellings in upper & lower ja... more This case report is of a 65-year-old man with two large soft tissue swellings in upper & lower jaws for 20 days. Incision biopsy revealed metastatic carcinoma with possible primaries was adrenal gland and kidney. Metastatic adenocarcinoma in left lung and primary mass in right adrenal gland were diagnosed by other relevant investigations. Due to unfavorable general condition, Chemotherapy could not be started. Patient died 20 days after the confirmation of diagnosis & during the course of radiotherapy. (J Bangladesh Coll Phys Surg 2007; 25 : 153-156)
Trigeminal neuralgia is a sudden, severe, stabbing, recurrent and usually unilateral pain in the ... more Trigeminal neuralgia is a sudden, severe, stabbing, recurrent and usually unilateral pain in the distribution of one or more branches of the fifth cranial nerve. A 55 years old man, diagnosed case of Trigeminal Neuralgia of the left side of the face was treated with oral carbamazepine with good response. But after that the disease became refractory to the drug. With the titration of dose of carbamazepine, raising up to 1200 mg daily in three equal divided doses added with amitryptylene, we could give relief of pain to patient. The patient is now under observation & we are following him for last 6 months with a good response of the combination drug. It justifies that alteration, titration of carbamazepine and combination with amitryptylene can cause remission of trigeminal neuralgia instead of doing surgical intervention. DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21319 Medicine Today 2014 Vol.26(1): 66-68
Summary: Ewings Sarcoma of the body of the mandible is rare and can be mistaken as inflammation ... more Summary: Ewings Sarcoma of the body of the mandible is rare and can be mistaken as inflammation of dental origin.Here we presented a case of Ewings Sarcoma of afemale child of 2years and 3months old.After histological and immunohistochemical confirmation, patient was treatedby VAC and IE therapy alternatively.The reported case describes the clinical, radiological and histopathological findings of Oral Ewings Sarcoma with difficulties in management with initial response of treatment. DOI: http://dx.doi.org/10.3329/updcj.v3i1.17985 Update Dent. Coll. j: 2013; 3 (1): 46-48
Journal of Bangladesh College of Physicians and Surgeons
Fear is expressed as an unpleasant emotion caused by threat of danger, pain and harm. Anxiety is ... more Fear is expressed as an unpleasant emotion caused by threat of danger, pain and harm. Anxiety is an emotional state of a person such as doubt, mental-conflict, and disappointment. Phobia is persistent, unrealistic and intense fear of a specific stimulus, leading to absolute avoidance of the perceived danger. Corah’s Dental Anxiety Scale (CDAS), Modified Dental Anxiety Scale (MDAS), and Dental Fear Survey (DFS) are the tools to assess fear and anxiety. Dental fear and anxiety can be managed by change in dental set up and office environment, improving communication skill of practitioner and trust building among patients. Other approaches like behaviour-management techniques e.g., technique of relaxation, attention distraction, hypnotherapy, positive reinforcement, systematic desensitization and pharmacological management e.g., general anaesthesia and conscious sedation are also used to prevent and treat dental fear and anxiety in dental practice. J Bangladesh Coll Phys Surg 2022; 40: ...
Journal of Bangladesh College of Physicians and Surgeons, 2020
Oral health professionals are at high risk of developing COVID-19 infection due to their practice... more Oral health professionals are at high risk of developing COVID-19 infection due to their practice of close proximity to the patients. Patients in daily dental practice can be seen with basic protection protocol. Routine and elective dental procedures should be cancelled during this pandemic situation and could be rescheduled when the situation eases. In practice, as of universal prevention strategy, all patients should be assumed as COVID-19 infected and treated accordingly. Adequate standards of hygiene and protection should be adopted for all patients to avoid potential transmission risks. During the COVID-19 pandemic, it would be crucial to categorize oral and maxillofacial surgery cases into: emergency case, urgent case, intermediate case and low priority cases. While there has been a growing literature suggesting the aspect of critical care associated in treating these patients, ample of evidence indicates how this COVID-19 pandemic will affect surgical practice. Here we highli...
Journal of Bangladesh College of Physicians and Surgeons, 2017
Temporomandibular joint dysfunction is a complex and multifactorial disorder of oro-facial region... more Temporomandibular joint dysfunction is a complex and multifactorial disorder of oro-facial region. It is one of the most common disorders in maxillofacial region. The usual complain of the patients with this syndrome are pain in the area of the jaw and associated muscles, eating problem, chewing and locking of the jaw. It is more common in female than male. Its etiology is not yet well established. However its successful management depends on identification and controlling of the etiological factors.J Bangladesh Coll Phys Surg 2017; 35(3): 133-141
Journal of Bangladesh College of Physicians and Surgeons, 2020
Oral submucous fibrosis (OSMF) is a complex, debilitating, and precancerous condition. Formerly r... more Oral submucous fibrosis (OSMF) is a complex, debilitating, and precancerous condition. Formerly restricted to the Indian subcontinent, it is now frequently seen in the Asian communities of the United Kingdom, the United States, and other developed countries, and thus constitutes a severe global health problem. Areca-nut, the well-known causative agent of the disease, is now recognized as a group one carcinogen. Several grading systems and management protocols have been published in the literature to deal with this progressive disease.Despite the numerous medical methods used in oral sub mucous fibrosis management, sometimes surgical intervention becomes inevitable. Here, we extensively reviewed existing literature to discuss about incidence, presentation, aetio-pathogenesis, medical and surgical management with outcome of OSMF J Bangladesh Coll Phys Surg 2020; 38(3): 135-144
Journal of Bangladesh College of Physicians and Surgeons, 2019
The aim of this study was to determine the pattern of individual traits of malocclusion, includin... more The aim of this study was to determine the pattern of individual traits of malocclusion, including sagittal molar relationship, overbite, overjet, crowding, spacing, cross bite, missing tooth, impacted tooth and extra tooth of upper and lower jaws in patients attended in Orthodontic Department of a Tertiary Level Hospital. This cross-sectional study included orthodontic patients who visited the department of Orthodontics and Dentofacial Orthopedics in Sapporo Dental College and Hospital from January 2013 to February 2018. Among the study population comprised of 371 patients the females were 57.1% and the males were 42.1%.Among them, 6.7% belonged to 6 to 11 years, 20.5% belonged to 12 to 17 years and the remaining 72.8% were of 18-35 years of age . Angles Class I malocclusion was seen to be the most prevalent (64.2%). In incisor classification, Class I malocclusion was seen to be the most prevalent (38.3%). Increase in overjet, deep overbite, crossbite, crowding and spacing were fou...
Sturge Weber Syndrome (SWS) or Encephalotrigeminal Angiomatosis is specifically a rare non heredi... more Sturge Weber Syndrome (SWS) or Encephalotrigeminal Angiomatosis is specifically a rare non hereditary congenital sporadic disorder of elusive etiology. It belongs to a group of disorders collectively known as the phakomatoses ("motherspot" diseases). It has a vast continuum of cutaneous, neurologic, ophthalmic and oral manifestations. It consists of congenital hamartomatous malformations that may affect the eye, skin, and central nervous system (CNS) at different times, characterized by the combination of venous angiomas of leptomeninges, face, jaws and oral soft tissues. The classic pathognomonic features of disease include angioma of the leptomeninges extending to cerebral cortex with ipsilateral angiomatous lesions, unilateral facial nevus after one division of trigeminal nerve and epileptic convulsions. The most characteristic oral manifestation is represented by gingival hemangiomatous lesion usually restricted to ipsilateral maxilla or mandible. We report a case of Sturge Weber Syndrome with its characteristic oral manifestations and review of relevant prevailing literature.
International Journal of Oral and Maxillofacial Surgery, 2013
Background and objectives: rhBMP-2 has been used in maxillofacial reconstruction since 2007 and a... more Background and objectives: rhBMP-2 has been used in maxillofacial reconstruction since 2007 and appears to be one the most promising biomaterial. The main advantage was the shortening operation time, absence of donor site morbidity and shorter hospital stay. This study report the off-label use of rhBMP-2 for the management of non-union complications after orthognathic surgery. Materials and methods: A case review was made of 3 patients who developed non-union of the jaws after Le Fort I and sagittal osteotomies. Two patients had non-union of the mandible and one patient had non-union of the maxilla. The rhBMP-2 with a collagen carrier was used with and without the association of autogenous bone to graft the non-union site. Results: All of the cases reported had successful osseous restoration of the non-union site. Bone formation could be seen at the end of 90 days by clinical and radiograph assessments. The patients progress with stability of the jaws and occlusal functions restored. Conclusion: This study indicated that the rhBMP-2 played an important role in the reconstruction of the non-union surgical sites after orthognathic surgery and can be an alternative method of treatment that reduce surgical morbidity.
Class II malocclusion is the condition in which the mandibular first molars occlude distal to the... more Class II malocclusion is the condition in which the mandibular first molars occlude distal to the normal relationship with the maxillary first molar. The etiology of class II malocclusion varied between skeletal, soft tissues, dental factors and habits. Skeletal class II could be because of protrusion of maxilla, retrusion of mandible and combination of both. The treatment modalities of any skeletal problem include Growth modification, Dental camouflage and Orthognathic surgery. The optimal time for treatment of patients with Class II malocclusions therapy should be initiated at the beginning of cervical vertebrae maturation stage CS3 to maximize the treatment effects. Age of treatment is approximately 8-14 years. The growth modification of moderate to severe skeletal class II malocclusion can be done by head gear, bionator, activator, twin block, herbest appliance, Frankel II regulator. The ultimate goal of growth modification depends on treatment timing, length of treatment, worki...
Bangladesh Journal of Orthodontics and Dentofacial Orthopedics, 2013
Reported case is of a 9-year-old-girl with unerupted malposed upper right central incisor, which ... more Reported case is of a 9-year-old-girl with unerupted malposed upper right central incisor, which was treated by sequential surgical exposure and fixed orthodontic treatment. The tooth was aligned in the dental arch with accepted aesthetic and functional satisfaction of the patient. DOI: http://dx.doi.org/10.3329/bjodfo.v1i2.15986 Ban J Orthod & Dentofac Orthop, April 2011; Vol-1, No.2, 16-17
Journal of Bangladesh College of Physicians and Surgeons, 2012
Not available DOI: http://dx.doi.org/10.3329/jbcps.v29i4.11348 J Bangladesh Coll Phys Surg 20... more Not available DOI: http://dx.doi.org/10.3329/jbcps.v29i4.11348 J Bangladesh Coll Phys Surg 2011; 29: 244-245
Journal of Bangladesh College of Physicians and Surgeons, 2007
The reported case is a 10-year-old boy presented with a hard, non-tender, expansive swelling of t... more The reported case is a 10-year-old boy presented with a hard, non-tender, expansive swelling of the right mandibular body of 4 years duration. The case was diagnosed as ameloblastic fibro-dentinoma and enucleated through intra-oral approach. No recurrence was found in 39 months follow up.
A cross sectional study of 29 cases of oral squamous cell carcinoma with or without cervical lym... more A cross sectional study of 29 cases of oral squamous cell carcinoma with or without cervical lymph node metastasis was done among Bangladeshi patients from January 2006 to December 2007. Majority of the study subjects (34.5%) belonged to the age group of 40-49 years. 58.6% of the study subjects were male, while remaining 41.4% of them were female. 51.7% of the lesions were located in the alveolar ridge where the other common sites were buccal mucosa (27.6%) and retro molar area (13.8%). Half of the study subjects (51.7%) were habituated to betel quid chewing followed by 37.9% and 10.3% were habituated to smoking and betel quid-smoking respectively. Grade I lesions was most prevalent (75.9%) in the study subjects. Majority of cases presented with Stage IV lesions (55.2%). The sensitivity, specificity, positive predictive value, negative predictive value & accuracy of clinical palpation method for determining metastatic cervical lymph nodes were 93.33%, 64.29%, 73.68%, 90% and 79.3%...
Oral Histoplasmosis is a deep fungal infection may present as oral ulceration and can be confused... more Oral Histoplasmosis is a deep fungal infection may present as oral ulceration and can be confused with oral mucosal malignancies, tuberculosis and other fungal diseases. It mostly affects individual having immunodeficiencies like tuberculosis and AIDS, but may also affect immunocompetent individuals. Here we presented a case of oral histoplasmosis with previously treated pulmonary tuberculosisand was treated by oral itraconazole. Complete disappearance of oral ulceration was evident following four weeks treatment and the patient is in regular follow up with maintenance therapy for last ten months. DOI: http://dx.doi.org/10.3329/medtoday.v25i2.17931 Medicine Today 2013 Vol.25(2): 99-102
Journal of Bangladesh College of Physicians and Surgeons, 2007
This case report is of a 65-year-old man with two large soft tissue swellings in upper & lower ja... more This case report is of a 65-year-old man with two large soft tissue swellings in upper & lower jaws for 20 days. Incision biopsy revealed metastatic carcinoma with possible primaries was adrenal gland and kidney. Metastatic adenocarcinoma in left lung and primary mass in right adrenal gland were diagnosed by other relevant investigations. Due to unfavorable general condition, Chemotherapy could not be started. Patient died 20 days after the confirmation of diagnosis & during the course of radiotherapy. (J Bangladesh Coll Phys Surg 2007; 25 : 153-156)
Trigeminal neuralgia is a sudden, severe, stabbing, recurrent and usually unilateral pain in the ... more Trigeminal neuralgia is a sudden, severe, stabbing, recurrent and usually unilateral pain in the distribution of one or more branches of the fifth cranial nerve. A 55 years old man, diagnosed case of Trigeminal Neuralgia of the left side of the face was treated with oral carbamazepine with good response. But after that the disease became refractory to the drug. With the titration of dose of carbamazepine, raising up to 1200 mg daily in three equal divided doses added with amitryptylene, we could give relief of pain to patient. The patient is now under observation & we are following him for last 6 months with a good response of the combination drug. It justifies that alteration, titration of carbamazepine and combination with amitryptylene can cause remission of trigeminal neuralgia instead of doing surgical intervention. DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21319 Medicine Today 2014 Vol.26(1): 66-68
Summary: Ewings Sarcoma of the body of the mandible is rare and can be mistaken as inflammation ... more Summary: Ewings Sarcoma of the body of the mandible is rare and can be mistaken as inflammation of dental origin.Here we presented a case of Ewings Sarcoma of afemale child of 2years and 3months old.After histological and immunohistochemical confirmation, patient was treatedby VAC and IE therapy alternatively.The reported case describes the clinical, radiological and histopathological findings of Oral Ewings Sarcoma with difficulties in management with initial response of treatment. DOI: http://dx.doi.org/10.3329/updcj.v3i1.17985 Update Dent. Coll. j: 2013; 3 (1): 46-48
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