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Microscopic examination:
Sediments
R.B.C
W.B.C
Epithelial cell casts
Bence Jones proteins
Biochemical investigations
fasting blood glucose 65-110 mg%
blood glucose random <160mg%
total protein 6-8 gm/100 ml
serum calcium 9-11 mg/100 ml
serum phosphorus 2.5-4.5 mg/100 ml
serum cholesterol 150-300mg/100 ml
serum uric acid 2.5-8mg/100 ml
serum creatinine 0.7-1.4 mg/100 ml
alkaline phosphatase 1.5-4.5 bodansky units
SGOT 8-40 mu/ml
SGPT 6-36 mu/100 ml
Blood urea 10-46 mg/100ml
Serum bilirubin 0.1-1 mg/100ml
radiological investigations
• routine radiological examination
• face & jaws present unusual problems in
radiographic examination.
• To overcome these problems a lot many
special projections have been devised
with which oral surgeon should be familiar.
• Extra oral projections
Special radiological examination
• Cephalometric x-ray: these radiographs are helpful in studying the
growth pattern of maxillo-facial skeleton.
• Sialography: the salivary glands & ducts are radiologically examined
after injecting radiopaque dye.
• OPG: opg’s cover a relatively large area of the jaws.
• CAT scan: it is of tremendous imp. As a diagnostic aid in oral &
maxillofacial surgery especially maxillofacial traumatology. The
improved version of CT scan are MRI, nuclear magnetic resonance
imaging, 3-D scan, spiral CT scan & PET.
• Ultrasound scan: Computerized Ultrasound scanning is a non-
invasive, safe, painless & inexpensive aid in diagnosis of swellings
in the neck region.
Histopathological investigations
• Autopsy is the histopathological study of
tissues removed after death of individual.
• Biopsy is the study of tissues removed
from living organism to confirm diagnosis
through histopathological study.
Microbiological investigations:
• For bacterial infections culture & antibiotic sensitivity
test should be preformed.
• Both aerobic & anaerobic culture should be considered.
• In septicaemia blood culture is advised.
• The antibody patient serum against a given virus during
the acute & convalescent phase of illness should be
studied.
• The oral surgeon are supposed to be particularly
cautious about viral hepatitis & HIV infections since they
are at a potential risk of contacting these diseases.
Special Investigations
• Sialography
• Lymph node biopsies
• Tuberculin test.