Students have unique preferences when it comes to knowledge acquisition, information processing, retention in memory, and recall. This study is aimed at examining the preferred learning styles of medical and dental undergraduate students of Pakistan. It is also aimed at investigating the influence of gender, preclinical or clinical academic year, and academic record on the preferred learning style. A descriptive cross-sectional study was conducted in Pakistan. The learning styles of undergraduate students were identified using visual, aural, read/write, and kinesthetic (VARK) questionnaire. Students were also asked about their satisfaction towards teaching style of their teachers in institute. Descriptive statistics were done to characterize the learning styles of the students. The Fisher test and chi-square test were used to compare the learning preferences between genders and public/private sector students and among preclinical/clinical years. A p value of less than 0.05 was considered significant. A total of 1473 students participated in the study. Among the students, 39.37% preferred unimodal learning style whereas 60.62% preferred multimodal style. Kinesthetic (K) and visual (V) were the most preferred unimodal styles. The preferred learning styles of female students are aural (A), visual (V), and kinesthetic (K), whereas male students preferred visual (V) and kinesthetic more (K). Students with lower academic record chose unimodal styles in comparison to high achievers that chose multimodal styles. Students of clinical year preferred multimodal and quadmodal styles in comparison to preclinical year students. An alarming 78% of students were dissatisfied with their teacher’s instructional style. Majority of students prefer multimodal learning styles over unimodal style. Gender, public/private sector, and academic record have influence on the preference of learning styles. Majority of the students are dissatisfied with their teacher’s instructional style and rely on social media platforms for understanding. Academics need to adapt their teaching methods according to student preferences in order to get better graduates.

Objective: To assess the suboptimal health status among young adults and its association with their demographic factors visiting institute of dentistry CMH, Lahore Design of the Study: It was a cross-sectional study. Study Settings: This study was carried out at Outpatient Department of Dentistry Combined Military Hospital, Lahore from August 2020 to January 2021. Material and Methods: A cross-sectional study was carried out with sample of 384 young adults visiting institute of dentistry CMH, Lahore. Suboptimal health status was using the “Suboptimal Health Mesurement Scale” ver-1.0. Information of demographics and information related to affecting to lifestyle behaviors were evaluated with a questionnaire. The associations between demographic information, lifestyle behaviors were checked by applying a Pearson coefficient Chi-square test. Results of the Study: A total of 384 participants were included in this study. The mean age of the participants was a 27.79±5.23 year with 53.2 % being women. Age group 19-28 years had high sub-optimal health 51.7% (199), while participants falling in age category 29-39 years had low sub-optimal health 48.3% (186). There was a strong association between the two independent variables. Pearson chi square (1) = 4.152, p value 0.0. Conclusion: It was found that suboptimal health status was significantly associated with demographics of young adults, environmental factors and life style behaviors in both males and females. Keywords: Suboptimal health status, demographic factors, demographic factors scale, young adults

Objective: To compare the wound healing with triangular flap versus envelope flap techniques among patients undergoing surgical removal of the impacted mandibular third molar (IMTM). Study Design: An open label randomized controlled trial. Place and Duration of the Study: The Department of Oral & Maxillofacial Surgery, Bakhtawar Amin Medical and Dental College, Multan from January 2021 to June 2021. Material and Methods: A total of 70 patients (35 in each group) of both genders aged 20 to 50 years requiring surgical removal of IMTM were included. Patients were asked to follow up on third and seventh day while observations regarding wound healing and pain were noted on 7th day among all cases completing the final follow up. Chi square was applied to compare data between both study groups taking p-value below 0.05 as significant. Results: In a total of 70 patients, there were 42 (60.0%) female and 28 (40.0%) female. Majority of the patients, 36 (51.4%) were above 30 years of age while mean age was noted to be 32.4+9.1 years. Sixty two patients completed the follow up so they were included in the final analysis for the assessment of wound healing and pain. Overall, wound healing was observed to be in 55/62 (88.7%) patients while wound healing was found to be 30/32 (93.8%) patients in envelope flap group in comparison to 25/30 (83.3%) in triangular flap group (p=0.1953). Overall, there was no statistically significant difference in between both study group with regards to evaluation of pain (p=0.3271) Conclusion: Both envelop flap and triangular flap techniques resulted in similar outcomes regarding wound healing among patients undergoing surgical removal of IMTM. Both flap techniques resulted in relatively similar degrees of post-surgery pain. Keywords: Third molar, pain, wound healing.

Introduction: Professional skills, training and experience is mandatory for removing impacted 3rd molars with aid of local/general anesthesia, sedation. As for symptomatic 3rd molars decision for removing is not difficult usually, but for removing asymptomatic 3rd molars decision is less clear & requiring good clinical experience. Objective: The objective this study was to determine frequency of lingual nerve damage during surgical removal of impacted 3rd molar Design: Descriptive cases series Study Setting: This study was conducted at Department of Oral and Maxillofacial Surgery, Sandeman Provincial Hospital Quetta over 6 months (April 10, 2018 till Oct 10, 2018). Materials and Methods: All 149 cases after approval of hospital ethical committee fulfilling the inclusion criteria were included in this study. After clinical and radiographic diagnosis of affected tooth like depth, position or any other difficulty, the surgical procedure was selected. An impacted tooth was labeled when it was failed to explode into the dental arch within the expected developmental window. After operation surgical sites of all patients were reviewed by the same consultant after 7 days. It was instructed to all patients that report any problem in lingual sensation; by clinical examination sensory deficits were recognized bilaterally. Results: The mean age of all cases was 29.82 ± 6.81 years with minimum and maximum age of 18 and 40 years. There were 83(55.7%) male and 66(44.3%) were females. According to types of impaction 22(14.8%) cases had Mesioangular, 10(6.7%) had Horizontal, 12(8.1%) had Vertical, 17(11.4%) had Distoangular, 14(9.4%) had Class I, 15(10.1%) had Class II, 11(7.4%) had Class III, 14(9.4%) had Class A, 16(10.7%) had Class B and 18(12.1%) cases had Class C. A total of 16(10.7%) cases had inguinal injury in this study. Conclusion: This study concludes that 10.7% cases had inguinal injury in this study. So, this procedure of impacted mandibular third molar is associated with minor but expected complications like the lingual nerve damage. Hence, preoperative and intraoperative consideration must be taken up to reduce this preventable complication. Keywords: Impacted teat, 3rd molar, surgery, complications, lingual nerve damage

Background of the study: A chronic and untraceable condition of pain is burning mouth syndrome (BMS) and is commonly observed in middle-aged and elderly people of both the genders. Many psychiatric disease that include anxiety levels, personality disorders and depressions are caused by oral problems i.e dysgeusia, burning mouth, oral malodour and dry mouth. Objective: This study aimed investigation of factors of risk associated with BMS in elderly people of both the genders. Design: It was a systematic review. Material and Methods: Inclusion and exclusion criteria were used and studies published from 2008 till date of review were included in the systematic review. For gathering relevant studies, some key words were used to find already published material i.e “elder, older, burning mouth syndrome / BMS, oral health problems, and elderly people”. Moreover, for enhancing relevancy and appropriateness, Boolean operators like AND, OR, double quotations, asterisk etc. were used. Popular and good reputed databases with peer-reviewed articles and journals were used that included PubMed health, Google scholar, EBSCO host, CINAHL, Embase and Cochrane Library. A table comprising of columns like study title, name of author, sample size, research objective, limitations and key findings was prepared for data extraction. Results: Based on moderate or strong quality, thirteen studies relevant to the objective were shortlisted. These studies had highlighted BMS as risk factor. It was held that female population is more affected by BMS in comparison with males and its prevalence is high in elderly aged people i.e. above 55-years age. Conclusion: From findings of the review, it is established that in older population numerous risk factors of BMS are dental procedures, increased age, lacking therapeutic treatments, lack of knowledge besides poor knowledge and practices of medical staff and poor care being given to older age people especially in post-menopausal stage in women. Keywords: Burning mouth syndrome, WHO, global population, post-menopause.

Objective: To determine the mean distance of mandibular incisive canal from the mental foramen in patients reporting to a tertiary care centre using Cone Beam Computerized Tomography for placement of dental implants in the anterior/interforaminal region. Study Design: Cross-sectional study. Place and Duration of Study: Department of Prosthodontics, Foundation University College of Dentistry Rawalpindi, Jun to Nov 2019. Methodology: A total of 70 patients participated between the age of 20-45 years. Cone Beam Computerized Tomography (the investigation was carried out and measurements of the mandibular incisive canal from mental foramen were recorded with the help of measuring tools in the software and noted down on the proforma. Data were analyzed using SPSS-20. Results: The number of patients selected for this study was 70. Out of these 70 patients, 33 (47.1%) were males and 37 (52.9%) were females. The mean age of patients in this study was 36.31 ± 6.38 years. The mean distance/extension of the mandibular incisive canal from left mental foramen and right mental foramen in all patients was recorded to be 14.49 ± 6.31 mm and 14.97 ± 7.10 mm respectively. Conclusion: Within the limitations of this study, it is concluded that a maximum distance of 22mm of the incisive canal from the mental foramen was observed using cone-beam computerized tomography.