Objective: To compare the difference in pain perceived by patients undergoing intra-oral local anesthesia withdifferent gauge needles. Study Design: Qausi experimental study. Place and Duration of Study: Oral and Maxillofacial surgery department of Institute of Dentistry, CombinedMilitary Hospital, Lahore Medical College, Lahore, from July 2019 to August 2019. Methodology: One hundred patients were selected by consecutive sampling from the oral surgery OPD clinic.They were divided into two groups A and B randomly. Twenty three gauge needle on a 3cc disposable syringewas used for inferior alveolar nerve block and buccal nerve block for group A and 27 gauge needle on a metaldental syringe was used for the same in group B. Patients gave a verbal pain score, from 0-10 for each injection. Results: One Hundred participants were included in study, 37 (37%) males and 63 (63%) females. Mean painscore for group A for the inferior alveolar nerve block was 4.50 ± 2.1 and group B was 3.86 ± 2. The mean painscore for the buccal nerve block in group A was 4.02 ± 1.7, while that of group B was 3.94 ± 1.8. There was nosignificant difference (p=0.167 & 0.855) in pain perceived by patients undergoing intra oral local anesthesia using needles of different gauges. Conclusion: There is no difference in pain perceived by patients undergoing intra oral local anesthesia usingneedles of different gauges.
Objective: To assess the knowledge about different mandibular nerve block techniques of fresh dental graduates, dental surgeons and specialists to attain mandibular nerve block for dental treatment in Multan. Design of the Study: It was a cross-sectional survey. Study Settings: This study was carried out at Department of Dentistry at Multan Medical & Dental College, Nishtar Institute of dentistry (Nishtar Medical University) and Bakhtawer Amin Dental College from August 2019 to August 2020. Material and Methods: The study involved 220 respondents. The questionnaire was administered to fresh dental graduates (house officers) and dental surgeons in 3 dental colleges of Multan, and was collected on the same day. House officers who did not return the forms were reminded personally and contacted on the phone thrice over the following week. Results of the Study: The frequency of respondants who could administer Gow-Gates without supervison was 20.9% (n=46). Participants from NID, Multan had the highest frequency (35.3%) with the lowest in BIMDC (16.6%)and MMDC(20.6%). The differences were non-significant (p=0.19). Significantly higher frequency of male respondants (10%, n=22) claimed they could administer Gow-Gates without supervison compared to female respondants (5.4%, n=12, p=0.012, Chi-Square). Training for Gow-Gates had been received by 12.7% (n=28) of the House Officers and dental surgeons. The Highest frequency of training was in NID, Multan (5.4%, n= 12, p= 0.016, chi-square). Conclusion: The majority of the dental practitioners of Multan used IANB as their primary LA technique and intraligamental injections as a supplemental LA technique in their clinics to attain mandibular molars anesthesia for general dental procedures like fillings, root canals and extractions. Keywords: Mandibular local anesthesia, Inferior alveolar nerve block, Gow-Gates technique
Objective: of this study is to analyze the behavior/attitude of general dental practitioners towards record keeping and quality assessment of patient records found in different dental practices of Lahore. Study design: Cross sectional, Descriptive, Questionnaire based study (Copy of questionnaire attached). Place and Duration of Study: Data collection for this study was conducted in different private dental practices of Lahore from Oct-2017 to Dec-2017. Methods; A random sample of 60 dental practices were selected by means of stratified sampling from different towns of Lahore. Dentists were interviewed and patient records were checked for data collection which is analyzed using SPSS version 23. Results: Interview of 43 dentists and analysis of patient records from their practices revealed that 16 (37.2%) practices have no record at all and even none of the remaining 27 (62.8%) practices. Who claim to have patient records, has any properly completed record. Shows that dentists have got very casual behavior towards record keeping as most of them were not having any records and the remaining ones who claimed to have patient records, were maintaining them in a very poor form. Conclusion: Female dentists, postgraduates and dentists working in group practices and affluent areas were found to have relatively more tendency towards record keeping. Recommendation; Dentist training institutes and health implementing authorities are the main areas which need to be stressed upon for improvement of record keeping. Keywords: (MESH) Record keeping, Dental photography, Dentist, Post-graduate, Health authorities, Affluent areas.
Objective: To evaluate awareness and practice of oral hygiene measures amongst college students of Lahore. To assess awareness and practice of oral hygiene measures amongst students of CMH LMC, LUMS, UET, FAST, Punjab College & Lahore Garrison University Materials and Methods: A survey was conducted among non-dental students using a questionnaire. Results: Most frequently used oral hygiene measure was toothbrush (81.3%). Most frequently used interdental aid was toothpick. (53.8%). 68% of the participants were aware about oral hygiene and most common mode of awareness was by dental fraternity 34.6%. 51% of the participants were using interdental aids. 49% of the participants were not using oral hygiene adjuncts and the most common reason was not knowing how to use it. (28.8%) Conclusions:68% of the participants were aware about oral hygiene measures but only half of the participants in this study engaged in regular oral hygiene measures and lack of knowledge was the dominant reason for not doing so. Key words: oral health, periodontal disease, interdental areas, interdental cleansing, interdental aids.
Objective: The main objective of the study is to determine the frequency of injury to lingual nerve & inferior alveolar nerve in case of mandibular 3rd molar impaction. Materials and Methods: This cross sectional study was conducted in Bakhtawar Amin Dental Hospital, Multan, during July 2018 to December 2018 with the permission of ethical committee of hospital. A total of 100 mandibular extractions were performed with the age range from 15-80. 25 patients were males and 75 were females. The predictor variables for the study were age, gender, level of impaction(soft tissue, partial bony or total bony) ,type of buccal flap raised (in surgical extractions), lingual flap retraction and protection, surgeon’s experience (specialists, residents, house officers or students) and the tooth side (right or left) in relation to the handednessof the operator (R/L). The outcome variable was the presence of postoperative lingual neurosensory deficit and inferior alveolar nerve deficit. Results: Out of 100 patients, six patients were diagnosed with lingual nerve paraesthesia on 1st and 7th postoperative day evaluation. The overall incidence rate of lingual nerve injury was 6%. One patient with paraesthesia was lost from the study after approximately 3 months of observation due to geographical relocation but this patient had definite sign of return of sensation when he was lost from study. Conclusion: It is concluded that the risk of lingual nerve paraesthesia is higher than inferior alveolar nerve paraesthesia post operatively after third molar extractions.
Background: Indian sub-continent (India, Pakistan, and Bangladesh) is one of the high-risk populations for oral cancer cases. Intraoral screening is critical to diagnosis and treating oral cancer at an early stage for a better prognosis. Among the diagnostic adjuncts, toluidine blue staining is considered a simplistic, cost-effective, and highly sensitive method. The objective of the current study was to find out the diagnostic accuracy of toluidine blue in the early detection of oral squamous cell carcinoma. Patients and methods: This prospective observational study was undertaken at the Department of Oral and Maxillofacial Surgery, Institute of Dentistry, CMH Lahore Medical College from15-09-2019 to 15-03-2020 after getting approval from IRB. Based on inclusion criteria, a sample size of 100 was calculated and enrolled in the study. Non-probability convenient sampling technique was utilized. Oral staining of 100 patients was done with 1% toluidine blue on an OPD basis, and incisional biopsies were then performed. Staining pattern and histopathology reports of patients were evaluated to assess the diagnostic accuracy Results: The study results revealed the sensitivity of Toluidine Blue as 89.87%, and specificity of toluidine blue was found as 76.19%. Positive and negative predictive values of Toluidine Blue remained 93.42% and 66.67%, respectively. Conclusion: Toluidine blue has good diagnostic accuracy for early detection of oral squamous cell carcinoma (SCC).
Background: Road traffic accidents are the leading cause of death for children in Pakistan. This is particularly true in the country of Pakistan (RTA). Implementing safety measures such as car seats, limiting the ages of drivers in the family, and prohibiting children from riding bikes and driving cars can help prevent childhood accidents or minimise the severity of those injuries that do occur. It is difficult to appreciate the entire severity of the problem since there is a paucity of published research on the epidemiology of face injuries in children. This makes it difficult to invest in programmes that prevent injuries that are detrimental to the public's health. Objective: To provide a description of the epidemiology of face injuries sustained by children who were hospitalized to the hospital as a result of RTA. Duration of Study: March 2019 to March 2020 Place of Study: Allama iqbal memorial teaching hospital Khawaja Muhammad Safdar medical college Design: Cross Sectional Patients and Methods: We gathered information on all patients younger than 16 years old who were admitted to the hospital as a result of RTA between the years 2019 and 2020. The patients were all younger than 16 years old. Comparisons were done across a broad spectrum of characteristics, such as the presence or absence of Facial Injuries and age groups, amongst others. Main Outcome Measures: facial injuries. Sample Size: 220 patients. Result: As a result of their injuries, 74 (34%) of the population that was affected suffered from some form of brain impairment, and 78 (35.6%) suffered from some form of face injury. There were thirteen children (9.1% of the total population) operating the vehicle when it was involved in the accident. It was discovered that 53.8% of the children were not wearing any kind of seatbelt or other kid safety gear while they were riding in the back seats of the car and they were under age while riding a bike. Conclusion: It should not come as a surprise that facial injuries are so prevalent in our society today. In addition, the study found that teenage driving is more prevalent than was previously believed, which calls for ongoing monitoring as well as the development of suitable treatments. Increased documentation of the use of restraints and stronger enforcement of safety laws by police can both play a substantial role in reducing the number of injuries that are associated with the use of restraints. The findings of the study highlight the necessity of combination seating or rear seating in addition to restraints that are appropriate for the child's age in order to reduce the likelihood that youngsters would sustain injuries to their heads or faces.
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