Various Dental Practical Experience – Allergy of Denture Material
In 1970 Dr. Anil Shah of Reserve Bank of India sent a patient named Mrs. Pundit, who was given an emergency partial acrylic denture, had severe allergic reaction involving skin rash oral & general oedema, high blood pressure, had taught me that acrylic plaster also creates allergy.
 

In 1971 one builder friend sent me a labour leader whose wife was hurt on front of face, had horizontal line maxillae # with detached 12 /21. He was afraiding of reimbursement and legal charges. I planned plastic splint to immobilize teeth and # fragment after correct reduction. The perfect recovery changed labour leader's intentions to sue my friend. I got a new way to treat fracture of jaw, which I used in 1983 in case of Class -1 maxillary bone # where teeth were intact on a police inspector Mr. L. K. Barot's daughter Sangita Where I used decorative splint in shape of teeth. The splint allowed the girl to attend her college and eat food.

In 1978 Dr. Mansukh Dhorajia brought a 4 year old child patient Manisha Patel with huge carcinomatous growth on right side face involving angle of lower jaw. The child was operated twice by a team of doctors. The operating surgeon of cancer hospital advised to go for jaw resection – hemi-mandibulactomy. The child had forcep injury during birth and there was post netal problem of chronic abscess with growing oedema, appeared as hard swelling. She was operated first at her 18 mths. Age, on relapse of growth again on her 30 mths. Age. When she realized that Dr. will cut her jaw and she will have to live with ugly face, she rejected the line of treatment and stopped eating food and taking medicines till death. I could convince her by showing her pathology report that she is not suffering from cancer but it is just abscess and that can be cured by simple operation. With great encouragement from my anaesthetist senior most Dr. Madhubhai Shah I was successful in curing the wound. We performed two stage operations, in first stage I excavated the chronic granulation tissues and in second stage I reset the tooth buds of permanent teeth in respected sockets. The patient was very happy but through out the life she had Doctor phobia .This experience was useful in 1982-83, while treating Savita with Midgets in maxillae migrated up to floor of cristagalli. Dr. Dhorajia himself had chronic peri-apical abscess on midline in maxillae. The growth was overlapping the palatine-foramina and pressing palatal vessels and nerves. He was afraiding of jaw resection and was successfully operated by me. Biopsy report made great relief in his mind that the growth was just chronic abscess and no carcinomatous changes were found.
 

I have extracted impacted, embedded last molars and canines. One of the most remember able case was of - Mr. Navanit Thakershibhai Shah, who had right lower jaw last molar in reverse position. Roots up and crown down migrating on a reverse path. Where all my teachers and seniors refused to perform surgery I took a challenge and removed the tooth in 1975 under general anaesthesia, by using chisel hammer, without breaking jaw-bone.
 

Another such rare case was treated in 1987 of Pravina Balubhai Shah who had left upper last molar, situated on top of root apex of second molar, had penetrated maxillary bone and the crown of the tooth was projecting in parotid gland, which was very near to facial nerve. She was operated under local anaesthesia without damaging facial nerve. With challenge with her relatives the operative procedure was completed within forty minutes.
 

Embedded canines from both upper and lower jaws were removed under local anaesthesia. In 1969 very beginning career I was taking my practical training with Dr. J.C. Parikh. He was having poly clinic, had common waiting room with Dr. Narendra Patel a Radiologist and Dr. Anil Shah, a Psychiatrist. Mr. Shantilal was radio technician who brought Dr. Narendra Patel's father for dental diagnosis. He had severe pain in anterior portion of lower edentulous ridge. A lesion there was hard swelling white in colour, was suspected for carcinoma. Though Shantilal had extra-oral radiograph I took Intra-oral radiograph and diagnosed it as an embedded canine. I had then after extracted such four embedded teeth in case of Mr.Rasiklal Chhaganlal Shah, horizontally situated in layers in the anterior region of the body of mandible.

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