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Caption: Figure 2: (a and b) Intraoral picture showing swelling in the buccal vestibule and mild swelling on palatal side
Furthermore, both gutka-chewers and BQ-chewers were placing gutka and quid in their buccal vestibule for approximately 7 minutes.
However, it can be difficult to position the HVE shaft on the buccal side so that it is not interfering with the dentist's placement of the instruments, especially if there is limited space between the ramus aspect of the mandible and the buccal aspect of the maxillary posterior area, or if tight cheek muscles prevent thick objects like the HVE shaft from accessing the maxillary buccal vestibule.
At the report of subjective signs of anaesthesia, group A received 4 mg dexamethasone and group B received 8 mg dexamethasone injected into the buccal vestibule. Standard surgical procedure was performed by the same operator under same conditions.
Naswar is either used by 'sniffing' (nasally) or 'dipping' by placing in the buccal vestibule either in the upper or lower anterior or posterior area for 10-15 minutes.1,2 The contents are sucked intermittently and not chewed because of the bad taste.
Intraoral examination (Figure 2(b)) revealed a solitary smooth circumscribed swelling of 1.5 cm x 2 cm in size, with well-demarcated margins in the left maxillary region filling buccal vestibule. Anteroposteriorly, it extended from the mesial margin of the first premolar up to the distal margin of the second premolar.
Other sites included lips, buccal mucosa, buccal vestibule, oropharynx and nose (Table 2).
On Intra oral examination, a dome shaped swelling was noticed extending from 15 to 18, medially 1 cm away from mid palatine region up to buccal vestibule (Figure 2).