Objective: To assess the impact of dialysis on periodontal and general oral health of chronic kidney disease patients. Methodology: A Cross sectional comparative study was conducted in the department of Nephrology and Urology, Sharif Medical and Dental College, Lahore on 32 patients with chronic kidney disease in the time duration of one year. Chronic kidney disease stage 3, 4 and 5 patients with age above 18 years, belonging to both the genders and same socioeconomic status were a part of the study. Data collection was based on the following parameters: Community Periodontal Index of Treatment Needs (CPITN). Results: There was a statistically non-significant association between stage of chronic kidney disease and periodontal health of patients undergoing dialysis (p=0.185) and general oral health (p=0.120). Practical Implication: This study will help dental practitioners understand the impact of renal dialysis on general oral and periodontal health of patients with chronic kidney disease and in turn help them provide effective health care to these patients who have specialized treatment needs. Conclusion: It was seen that stage 3 patients had the highest percentage of bleeding gums while none had periodontal pockets nor calculus deposition. Stage 4 patients had an equal percentage of calculus deposition and periodontal pocket depth of 4-5 mm. Stage 5 patients had a high percentage of Periodontal pocket depths of 4-5mm followed by calculus and then bleeding gums. A higher percentage of stage 3 and 5 patients undergoing dialysis had a high DMFT whereas the percentage of stage 4 patients with high and low DMFT scores was equal. Keywords: Dialysis, Chronic kidney disease, periodontal health, Community periodontal index for treatment needs (CPITN)
Objective: To assess the techniques used by dental specialists for placement of extensive posterior composite restorations. Methodology: A cross sectional descriptive was conducted in 150 dentists of College of Dentistry, SMDC, Lahore from June 2019 to July 2020 after obtaining ethical approval from Sharif Medical Research Centre (SMRC). Data was collected using a pre validated questionnaire Results: A statistically non-significant association between the specialty of the dentist the technique used for placement of the composite during restoration (p=0.08). The most commonly used techniques for the placement of posterior composite restorations by dentists of all specialties including Periodontology (88%), Prosthodontics (68.4%), Orthodontics (85.7%), Oral Surgery (91.3%), Oral Pathology (71.4%), Oral Biology (33.3%), Dental materials (75%), Community Dentistry (100%), Operative Dentistry (90.9%) and Oral Medicine (75%) is incremental curing. Practical implication: This study will give an insight on the various techniques used by dentists from various specialties for the placement of composite restorations in posterior teeth. This will in turn help them adopt new and revisit old techniques used by them while placing composite restorations. Conclusion: The most commonly used techniques for the placement of posterior composite restorations by dentists of all specialties is incremental curing followed by use of moisture control during the placement of composites both with and without rubber dam isolation. Keywords: Dental Specialists, Composite Restorations, Posterior Dental Restorations, Incremental Curing
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