Objective: To assess the effect of 5% sodium fluoride (NaF) varnish application in prevention of caries in mixed dentition rural Jamshoro school children over the course of 6 months. Methods: children with lower stage caries aged 7 to 10 years were included. Students were equally divided in two groups. In Group-A students, 5% fluoride varnish was applied. While in children of control group necessary instructions were given to the student about dietary control. After 3 months, varnish applied teeth on both group’s children were examined again and the rate of caries were documented by using DMFT. After 3 months fluoride varnish was applied to both groups using same method and same directives. Dental caries was examined using the DMFT score after six months of application of fluoride varnish in both groups. All the data was recorded in the proforma. Results: In this study total 108 children were studied, there was no significant difference according to age and brush frequency among both groups p-value 0.146 and 0.088 respectively. Most of the children were using brush among both groups. A starting of the trail mean of DMFT was 1.22+0.24 in group A and 1.39+0.56 in group B. After 3 months it was almost equal among both groups as, while on six months assessment DMFT was raised in control group in contrast to test group p-value 0.012 Conclusion: It was concluded there was significant preventive effect/impact of fluoride varnish on dental caries. DMFT was raised in control group during 6 months rather than test group. Keywords: Children, Dental caries, Fluoride varnish
The inferior alveolar nerve block is the simplest often utilized injection procedure in dentistry, and numerous variations of the traditional nerve block have lately been reported. The dentist or surgeon must consider a variety of aspects before choosing the optimum approach, considering the treatment's effectiveness probability and potential problems. Objective: To compare the effectiveness of preoperative ibuprofen verses placebo in enhancing the success of inferior alveolar nerve block in patients with irreversibly inflamed pulp. Methods: This randomized control trial was performed for a period of 6 months. Data collection was done after taking approval from hospital ethical committee of Altamash Institute of Dental Medicine. 236 patients were included in this study. The participant was told to assess their level of discomfort after the endodontic treatment. Results: From 236 patients, the minimum age was found 18 years and maximum age was 45 years. Males were 123/236 (52.1%) while females were 113/236 (47.9%). Effectiveness of both materials was found in 74/236 (31.4%) patients. Effectiveness of materials was found significant in both groups (Ibuprofen, Placebo) having p-value 0.012. Conclusions: The effectiveness of materials was significant in both groups (Ibuprofen, Placebo). Effect modifier like age, duration of pain and gender has no significant association with effectiveness of materials.
Objective: To compare the complications of extraction of partially impacted mandibular third molars with or without a buccal flap. Materials And Methods: A comparative cohort study was performed at Department of Oral & Maxillofacial Surgery, Institute of Dentistry, Liaquat University Hospital, Hyderabad from September 2020 to March 2021. Sixty-two patients of either gender, having age 15-50 years and recommended for extraction of partially impacted mandibular third molars were selected by non-probability consecutive sampling technique and distributed into flapless group (31 patients) and buccal flap group (31 patients). Patients were treated with standard procedures of flapless and buccal flap, operating time was noted and follow up was done at 1st day, 2nd day post-operatively for pain, swelling, trismus, whereas periodontal pocket distal to second molar was measured at 1 month and 3 months follow up interval. Results: In flapless and buccal flap group male patients were 17 (54.8%) and 18 (58.1%) and female patients were 14 (45.2%) and 13 (41.9%) respectively with mean age of 27.4 ± 9.6 and 26.7 ± 8.4 years. Statistically significant difference was obtained in flapless and buccal flap groups in terms of operative time, pain score, swelling score, pocket depth and trismus. Conclusion: Flapless technique is more effective in conditions of operative time and post-operative complications. So, flapless technique can be used frequently for elimination of incompletely impacted mandibular third molars.
Objective: The goal of this study was to document the Root Canal morphology of the first mandibular premolars using radiography. Materials and Methods: The trial took place at the LUMHS Operative Dentistry Department. Two hundred removed permanent mandibular first premolars that met all of the study's inclusion criteria were gathered from LUMHS Jamshoro/Hyderabad and nearby private dental clinics in Hyderabad. All debris, soft tissues, and calculus were removed from the teeth, which were then preserved in a 10% formalin solution. Each tooth's length was measured from the crown's tip to the root's apex. An removed tooth, on the other hand, was examined from all angles, including buccal, lingual, and proximal. Root concavities and grooves, as well as bifurcation and apical curvature, were found. Results: Comparison between both views showed 189 teeth have 1 root in and 186 have 1 canal in buccolingual view, while 182 teeth have 1 root and 179 have 1 canal in mesiodistal view. 11 teeth on buccolingual and 18 teeth on mesiodistal view showed 2 roots and 14 teeth on buccolingual and 21 teeth on mesiodistal view showed 2 canals. 110 teetj showed type I canal pattern. Conclusion: It is concluded that mandibular first premolar teeth have a wide range of radicular traits, with the majority of them having one root and one canal.
Background: Dental caries area public health problem. Its prevalence is about 60% in the Pakistani population. Purpose: The purpose of this study was to correlate the association between decayed, missing, and filled teeth (DMFT) score and its body mass index in patients visiting the Dental Department of Liaquat University of Medical and Health Sciences, Jamshoro. Materials and Methods: This cross-sectional study was conducted from January 2021 to May 2021 at the Department of Operative Dentistry Liaquat University of Medical and Health Sciences. Patients with age 16 to 70 years with presence of atleast 15 to 18 permanent teeth were included in te study. Patients having primary teeth were set in exclusion criteria. For Dental caries status, decayed, missing, and filled teeth (DMFT) index was used. Height and weight were measured using digital scales. BMI was calculated according to the formula weight in kilograms/height in centimeters. Data were analyzed for descriptive statistics. One Way ANOVA test was used for association. The statistical significance level was evaluated at p<0.05 Results: We were able to obtain the data of a total of 203 patients of which 57% were female.The mean age was 36.7±13.8. ). The mean DMTF score was 5.7±3.7. In association of BMI with DMTF score, females BMI was statistically significant with DMTF score with p=0.039 and in overall was also significant p =0.002 Conclusion: DMFT score was higher in overweight and obese individuals and it was significant statistically. However, large community based studies are required to confirm the association.
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