Background Corona virus disease (COVID‐19) has crippled life, families and oral health care delivery in India due to nation wide lockdown. Aim Through cross‐sectional design we investigated the impact of child’s dental pain, caregiver’s fear of SARS‐CoV2 and parental distress on oral health related quality of life (OHRQOL) of preschoolers during the nationwide COVID‐19 pandemic lockdown. Design Preschool children self‐reported their pain using pieces of hurt scale; caregiver SARS‐CoV2 fear was assessed using fear of COVID‐19 scale and parental distress evaluated using 4‐item scale. Child’s oral health assessed using dmft index and OHRQOL evaluated using early childhood oral health impact scale. Bivariate, multivariate regression analysis was conducted to identify predictors; statistical significance was set at 5%. Results Sample mean age was 4.58 years, and about 69% were boys. Children reporting higher pain scores (OR=1.9) due to decayed teeth and having dmft >5 (OR=4.25); followed by greater parental distress (OR=4.13) and fear of SARS‐CoV2 (OR=3.84) were significantly associated with poor OHRQOL during the COVID‐19 pandemic. Conclusions Greater parental distress and fear of COVID‐19 among caregivers, higher self perceived dental pain among children and caries experience is associated with poor OHRQOL of preschool children during the COVID‐19 pandemic.

Corona virus disease (COVID-19) has crippled life, families and oral health care delivery. Hence, we assessed the impact of dental pain, fear of COVID-19 and psychological distress during lockdown on the oral health related quality of life of individuals visiting a tertiary dental care center during COVID-19 pandemic. Cross sectional study conducted among patients between 18-60 years. Demographics, access to pain killers, dental care (yes/no), duration ( 15 days) and intensity of pain were self reported. Fear of COVID-19 was assessed using fear of corona virus scale (FCV-19S); psychological distress in the last 30 days and oral health related quality of life was evaluated. Oral examination was performed and dental caries status (DMFT) was assessed using the world health organization method. Univariate and multivariate regression analysis was conducted to evaluate significant predictors and 5% was set as level of significance. 2966 patients visited our dental emergency due to painful decayed tooth between March-June 2020. Mean age was 42.7 years, 53.97% were males and most common cause of painful teeth was upper right third molar (7.7%). 73.4% reported lack of pain medication; 95% reported closure of dental clinics close to home. Almost 79% suffered from dental pain for more than 15 days. Higher self reported pain (OR 2.1; 95% CI 1.36-14.71), >15 days of suffering from pain (OR 6.8; 95% CI 2.18-23.14), greater fear of COVID-19 (OR 4.14; 95% CI 1.98-16.07) and psychological distress (OR 4.41; 95% CI 1.09-16.76) were associated with poorer OHRQOL of adults during COVID-19 pandemic. Our findings strongly suggest that COVID-19 pandemic negatively impacts the mental and oral health of individuals affecting their overall health.

The aim of this study is to determine the occurence of incidental thyroid nodules in patients undergoing routine neck ultrasound, and the presence of malignant thyroid nodules. This study also aims to evaluate the impact of age, sex, past medical history, habits and dietary intake as factors that can contribute to thyroid nodules. Materials and methods: This study is retrospective. Past medical records and ultrasound reports of 150 patients were reviewed and all age groups and nationalities were included. Results: Out of 150, incidental thyroid nodules were found in 32 patients (21.3%). Incidence was higher in women with male to female ratio of 1:3 and the average age was 36.6 years. Nodules were solitary in 13 patients (40.6%) and multiple in 19 (59.4%). 53.1% of the nodules were located bilaterally while 46.9% were unilateral, occurring in only one of the thyroid lobes. The ultrasound reports revealed margins that are ill-defined in 4 nodules and well-defined in 11 nodules. 31% of the nodules were solid and only 15.6% presented coarse and dense calcifications. Based on the morphology, 10 nodules (31.25%) were less than 5 mm in size, 13 nodules (40.6%) had sizes ranging from 5 to 10 mm, and 9 nodules (28.1%) were dominant, measuring more than 10 mm. However, no malignancy was reported. Conclusions: Although their incidence is relatively low, incidental thyroid nodules are frequently present and must be evaluated carefully for any suspicious features like solid consistency, calcifications and hypoechogenecity.

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Dental implants have become increasingly important in daily dental offices. The degree of pain and discomfort experienced during a surgical procedure varies from one patient to another. Using advanced machine learning algorithms to predict pain, the dentist and the patient would make more informed decisions about the treatment. This study aims at Predicting postoperative discomfort using an AI-based multi-linear regression model. The functional parametric association between the eight parameters (age, sex, and operating technique) and the patient's postoperative pain was established following implant surgery. The output was normalized information regarding both incidence and severity of immediate discomfort post-implant surgery. To enhance the generalization ability of the multiple linear regression (MLR) model and avoid overfitting, 825 cases were provided as the training set, while 207 cases were given for data authentication. In addition, 45 samples were used as controls to determine the model's prediction accuracy. Evaluation of the given model reveals a Root Mean Squared Error of 0.108477788. This prototype predicted AI model postoperative pain following implant surgery with 89.6 % accuracy. Finally, this AI model exhibited clinical viability and utility in predicting postoperative pain after surgery.

Objective This article explores the problem of developing pathologies in the retromolar region. Findings can serve a framework for disease prevention and for the improvement of the quality of life of patients. The present study aims to justify the possibility of utilizing morphometric methods to foresee problems in the eruption of third molars. Materials and Methods A comprehensive morphometric study of the lower jaw and facial skeleton involves 100 skulls of Homo sapiens to identify the anatomical causes of problems with wisdom teeth eruption. All said skulls are divided in two groups: I: skulls with intact dentition; II: skulls with impacted third molars. Results This work allows detecting abnormalities in the eruption of the third molar with high probability of success. The abnormalities in point are considered not only those associated with the generally accepted parameters but also those that occur in the leptoprosopic face cases. Conclusions Face type and the structural features of the facial skeleton play a significant role in the abnormal eruption of the lower third molar.

Background: Acceptability tests are designed to demonstrate that there is no chance that cosmetics would irritate or distress users in day-to-day situations. Objectives: to develop and validate a tool or scale that dermatologists, general practitioners, and other healthcare professionals can employ to assess a cosmetic product’s tolerability, safety of usage, and pleasantness. Methods: A three-step modified Delphi technique was used in the consensus process. Two rounds of online surveys and a final face-to-face meeting were performed. Fifty experts for the Delphi panel were chosen to reflect a holistic array of expertise and perspectives in pharmacovigilance, dermatology, and cosmetic safety assessments. In round 1, 80 statements and 115 statements related to skin tolerance and cosmetic safety/efficacy, respectively, were distributed to all members of the expert panel. The expert panel was asked to rate the extent to which they agreed with each statement in the questionnaire using a 5-point Likert scale and given a chance to include a remark beside each item. A statement had to receive 80% of the panel’s approval to be accepted. Results: A total of 50 professional experts were recruited in the Delphi questionnaire rounds (response rate = 63%). The expert panel reached a consensus on 30 statements to evaluate skin tolerability and 34 statements to evaluate cosmetic safety and efficacy (agreement rate level ≥ 80%). The experts also proposed a generic, systematic approach that would allow patients to report both functional and physical symptoms in addition to those discovered during an examination (clinical signs). The confrontation of these symptoms determines whether the investigated cosmetic product is ultimately cutaneously acceptable. Conclusion: The tool that was proposed during this study offered good content validity. Future studies are recommended to test the developed tools in practice to evaluate the good skin compatibility and the safety and quality of cosmetics in the UAE and other nations.