OBJECTIVE: The purpose of this study is to reinforce the safety of non-surgical endodontic treatment in the management of acute dental pain of pulpal origin in pregnant patients in all trimesters. METHODOLOGY: The study was conducted amongst pregnant females with acute dental pain. Pain of endodontic origin in 273 pregnant patients was managed by performing non-surgical root canal treatment. Percentages were calculated as descriptive statistics to have a comparison of preferred treatment by dentists for acute pain management during pregnancy. One Way ANOVA was used to explore the difference between treatment selection plans. RESULTS: From the total sample of 273 participants, there was no significant difference found between the selection of endodontic treatment and Trimesters (F (2,270) = .79, p=.45) same results were obtained for the analgesics prescription during pregnancy and the trimesters during pregnancy (F (2,270) = 1.41, p=.24). On the other hand, the difference between the prescription of antibiotics during 1st, 2nd and 3rd trimesters was found which was statistically significant (F (2,270) = 12.38, p> .001). Endodontic treatment was completed on 251 (91.6%) pregnant patients to relieve the acute dental pain whereas only 22 (8.4%) patients did not undergo endodontic treatment in pregnancy. Among the cases who had endodontic treatment, 75.4% of cases were dealt with in the second trimester of pregnancy. The recommendation of antibiotics was less. In the entire data, antibiotic prescription was seen in the second trimester of pregnancy, whereas, overall, antibiotic prescription was at minimal level. Analgesic prescription was found to be (44.1%) in practice among pregnant participants during the treatment. CONCLUSION: Non-Surgical Endodontic Treatment is a safe and reliable treatment option for the management of restorable teeth with acute pain of pulpal origin in pregnant patients. Dentists should not be reluctant in prompt invasive dental management in these patients if indicated. KEYWORDS: pregnancy, pain, dental treatment, endodontic treatment HOW TO CITE: Khan SA, Hassan AU, Iqbal Z, Hassan M. Endodontic management of acute dental pain among pregnant patients. J Pak Dent Assoc 2021;30(1):7-11.
Aim: To determine frequency of dental caries in mal-occluded teeth among children 3-11 years of age and compare dental caries in children with mal-occluded teeth Methodology: This cross sectional analytical study using purposive sampling technique was carried out at Dental hospital of Institute of dentistry, CMH Lahore Medical College, Lahore for 09 months After permission from institute of dentistry, CMH Lahore medical college and informed consent form participants or their parents/ guardian, they were included as male and female children aged 3-11 years that attended dental hospital of Institute of dentistry, CMH Lahore Medical College for dental treatment and had mal-occluded teeth. Children with mental, physical disabilities and whose parents/ guardian refused to take part were excluded. Dental caries in mal-occluded teeth of children was examined to report the frequency of dental caries. SPSS version 23 was used for analysis data. Results: Among the total of 330 patients included in the study, dental caries was observed in 260 (78.8%) of patients. Conclusion(s): Significant associations of dental caries were observed in terms of gender and age, monthly income, interventional urgency, and occupation and education status. Higher frequency of dental caries was observed in the upper middle and lower middle class groups. Keywords: Dental caries, Mal-occlusion, Pre-school children, Dental treatment
Aim: To explore the effect of socioeconomic status on frequency of dental caries among patients with maloccluded teeth. Methodology: Analytical cross-sectional study was conducted at Dental hospital of Institute of dentistry, CMH, Lahore Medical College, Lahore. Sample size was calculated as 330. Data was collected using purposive sampling technique. Patients of both genders between the ages of 3 to 11 years with maloccluded teeth were included. Result: According to Modified Kuppuswamy socioeconomic scale rating, gender wise comparison was conducted using chi-square test. Out of 330 participants, 28 males and 17 females were between scores of 25-29, i.e. the upper class. 91 males and 105 females were between scores of 16-25, being in upper middle class. 40 males and 45 females were scored between 5-10, being in lower middle class while 1 male and 3 females were scored <5, being in poor class. An insignificant difference of 0.20 was observed between them. The difference was nonsignificant. Conclusion: No gender wise difference was observed among patients with regards to dental caries in terms of socioeconomic status. Keywords: Malocclusion, dental caries, socioeconomic status, oral hygiene
Background: Fasting places prohibitions on eating and drinking for a certain period of time. Although many dental treatments have been said to be safe and can be performed while fasting, other may result in breaking of fast. The study aims to evaluate the perception of dental patients of Lahore, Pakistan regarding effect of such treatments and hygiene measures during fasting. Methods : It was a cross-sectional survey carried out in 2 dental teaching hospitals of Lahore, Pakistan from September- October 2018. Patients were asked to complete a self-administered structured questionnaire developed to assess the knowledge regarding dental treatments, and hygiene practices while fasting. The questionnaire consisted of 7 items regarding the influence of dental treatments such as filling, scaling, and extraction etc. on fasting. Questions were also added regarding maintenance of oral hygiene such as brushing and its effect on fast. Frequencies and percentages are used to display results. Chi-squared test was used for statistical analysis to estimate difference between gender, and educational status with perception of procedures breaking fast. Results : Out of 415 responses, 374 were included for analysis. About 76.2% respondents believed that undergoing extraction broke fast. Scaling was thought to nullify the fast by 45.5% of respondents. 52.9% perceived root canal treatment to break fast along with 67.6%, who believed anaesthesia administration broke fast. As far as oral hygiene was concerned, brushing was reported to break fast by 57.5% with the use of mouthwash invalidating fast by 63.4%. Conclusion : The respondents were generally aware of some procedures not breaking fast however, most thought that administration of anaesthesia, undergoing root canal treatment, and extraction invalidated fast. Also, hygiene maintenance measures such as brushing and use of mouthwash during was also thought to break fast. It is imperative that the healthcare providers should be familiar with the effect of dental treatments and oral hygiene measures on fasting state that can influence the treatment plan of the patients.
Background: Fasting places prohibitions on eating and drinking for a certain period of time. Although many dental treatments have been said to be safe and can be performed while fasting, other may result in breaking of fast. The study aims to evaluate the perception of dental patients of Lahore, Pakistan regarding effect of such treatments and hygiene measures during fasting. Methods : It was a cross-sectional survey carried out in 2 dental teaching hospitals of Lahore, Pakistan from September- October 2018. Patients were asked to complete a self-administered structured questionnaire developed to assess the knowledge regarding dental treatments, and hygiene practices while fasting. The questionnaire consisted of 7 items regarding the influence of dental treatments such as filling, scaling, and extraction etc. on fasting. Questions were also added regarding maintenance of oral hygiene such as brushing and its effect on fast. Frequencies and percentages are used to display results. Chi-squared test was used for statistical analysis to estimate difference between gender, and educational status with perception of procedures breaking fast. Results : Out of 415 responses, 374 were included for analysis. About 76.2% respondents believed that undergoing extraction broke fast. Scaling was thought to nullify the fast by 45.5% of respondents. 52.9% perceived root canal treatment to break fast along with 67.6%, who believed anaesthesia administration broke fast. As far as oral hygiene was concerned, brushing was reported to break fast by 57.5% with the use of mouthwash invalidating fast by 63.4%. Conclusion : The respondents were generally aware of some procedures not breaking fast however, most thought that administration of anaesthesia, undergoing root canal treatment, and extraction invalidated fast. Also, hygiene maintenance measures such as brushing and use of mouthwash during was also thought to break fast. It is imperative that the healthcare providers should be familiar with the effect of dental treatments and oral hygiene measures on fasting state that can influence the treatment plan of the patients.
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