Objective: The aim was to gain insight on patient factors and administrative shortcomings in the dental health department that prevent patients from seeking timely dental care. Study Design: Cross Sectional Survey. Setting: Punjab Dental Hospital, Lahore, Pakistan. Period: 7 January 2020 to 28 February 2020. Material & Methods: A structured close ended questionnaire was filled by information obtained from 400 patients that presented in the Exodontia OPD requiring extractions due to irreversible tooth damage. The data was collected from 244 (61%) females and 156 (39%) males. It was analyzed using SPSS version 20.0 and post stratification chi-square test was applied to see the significance of all comparative statistics. P value of <0.05 was taken as significant. Results: Out of 400 patients, 350 had not visited a dentist when the symptoms first appeared. Of these n=213 (60.86%) were females and n=137 (39.14%) were males. Majority of the patients were in the age range of 40-65 years and belonged to the low socioeconomic class n=213 (60.9%). The main causes of patients presenting now were pain and swelling. The major reasons reported for delayed visit were: “Self-medication” n=113 (24.57%),” Symptoms will resolve on their own” n=79 (17.17%),” No awareness” n=64 (13.91%),” Non serious and lazy attitude” n=39 (8.48%) and “Busy schedule” n=36 (7.83%). Conclusion: Our findings suggested that only a small proportion of people visited the dentist when the symptoms first appeared. Most of the patients ignored their symptoms to such an extent that the only possible treatment that could be offered was extraction of the concerned tooth. There was a general misconception that dental diseases are not very serious and can be resolved by over the counter medications. Thus, more dental awareness programs should be incorporated in the government health policy to increase focus on oral health.
Background: Around the globe acid peptic disease and its potential complications are among the major cause of morbidity and is a significant burden on health system. Till now the main stay of treatment are the pharmaceutical agents which decrease the secretion of acid. But these have potential complications and tolerability issues. Among such plants one is Acacia catechu commonly available in India and Pakistan.Methods: This experimental study involved 48 albino rats that were divided into four groups. Group A, B, C, and D were given water, 100mg aspirin, 100 mg aspirin+ 250 mg Acacia catechu and 100 mg aspirin+500 mg Aacacia catechu respectively, and were sacrificed on day 3, 7 and 14th day of study and observed for changes.Results: Difference between blood vessels in subgroup B1 and subgroup C1 with subgroup D1 was statistically significant (p=0.05) and (p=0.001). Group C1 and D1 had normal vessels in mucosa and submucosa. However, dilatation of blood vessels was noted in both groups receiving Acacia catechu along with ASA.Conclusions: Aqueous extracts of Acacia catechu stem and bark showed significant anti-ulcer and anti-inflammatory activities by increasing blood flow to the stomach.
Multiple treatment options are available for replacement of a missing anterior tooth, each with its own pros and cons. This case report aims to describe the use of a conservative and cost-effective approach for replacing a missing mandibular anterior tooth with periodontally compromised abutment teeth. Here we describe a case in which a single abutment tooth was minimally prepared for a Cantilevered Metal Resin-Bonded Fixed Partial Denture. This report provides a brief literature review regarding the success rates and various designs for resin-bonded fixed prosthesis. It also emphasizes on proper case selection for better long-term prognosis. The results after 1 year follow up of this case demonstrated optimal clinical success of the restoration which encourage the use of this minimally invasive technique for replacing missing teeth.
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