Objective Handling medical emergency in a dental clinic requires skill and specialized equipment, without which a patient's life can be in jeopardy. This study aimed to evaluate the prevalence of medical emergencies in dental teaching hospitals and assess the preparedness of dental professionals with regard to the handling of emergency and the equipment available for that. Materials and Methods This is a cross-sectional study employing nonprobability sampling. Data were collected from dental surgeons working in clinical specialties of five dental teaching hospitals of Lahore, Pakistan. A validated questionnaire was adopted from another study evaluating emergency prevalence and preparedness. Chi square test was used to assess significant associations among categorical variables while independent samples t-test and one-way analysis of variance were used to compare mean values among different groups. Results Prevalence of medical emergencies encountered was 7.9%. About 45% of emergency events occurred during treatment. Hypoglycemia was reported to be the most encountered medical emergency, 83 (37%). Equipment that were available in most departments were stethoscope (81.8%), sphygmomanometer (79.7%), and oxygen cylinder (74.0%). Medications that were readily present were epinephrine (88.1%), glucose (83.2%), and aspirin (76.2%). Seventy-six (53.1%) respondents were not very well prepared to manage a presenting emergency. Twenty-two (85.3%) respondents suggested hands-on courses to improve their skills. About 56 (39.2%) respondents revealed that their departments were not well equipped to handle medical emergencies. Conclusion Most dentists will get to experience an emergency event during their practice for which they may be underprepared and lack appropriate skill and certainty in management. It also portrays serious lack of preparedness in the supporting staff as well as clinics being deficient in important emergency medication and equipment.
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.
Objective: To manage patient expectation and provision of relief, it is vital to assess the impact of different domains of oral health associated with denture wearing which affect OHRQoL. Hence, study aimed to evaluate impact of removable acrylic dentures on OHRQoL of patients and assess influence of sociodemographic variables on OHRQoL. Methods and Material: A cross-sectional study with purposive sampling strategy was used to collect data from denture wearing patients presenting in prosthodontics department of dental teaching hospital of Lahore. A translated version of OHIP-14 (Oral Health Impact Profile) was employed. Mann-Whitney test was used to find association between variables (gender, age, missing teeth, type of denture, denture wearing time) and OHIP-14 items. ANOVA and T-test was performed to evaluate associate between OHIP-14 domain mean and variables. Results: 206 patients were included in the study. OHIP prevalence was 61.2%, whereas OHIP Score was 19.17 ± 10.1. Most affected domain was psychological discomfort (mean=1.81) followed by physical pain (1.76) and functional limitation (1.52). Significant association was observed amongst gender with female more likely to have an impact on OHRQoL due to physical disability, functional limitation and physical handicap. Patients with complete dentures were more likely to experience an impact on their OHRQoL due to physical disability and physical pain (p=0.04, 0.04) Conclusions: OHRQoL was satisfactory in our study however, majority of patients experienced problems associated with denture wearing. Most patients experienced psychological discomfort, physical pain and functional limitation. Female gender and patients with more than 5 missing teeth were more likely to have low OHRQoL. Keywords: Oral health, quality of life, dentures
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