Papillon-Lefevre Syndrome (PLS) is a autosomal recessive genetic disorder. The prevalence of this disorder has been reported to be 1 to 4 per million in the general population. The prime features of PLS include palmar-plantar hyperkeratosis along with premature loss of deciduous and permanent teeth due to aggressive periodontitis. Radiological feature involves severe destruction of alveolar bone giving teeth a typical “floating in air” appearance along with intra-cranial calcifications. Clinical findings of disease specific dermatologic manifestations and periodontal involvement forms the framework of the diagnosis. Clinical significance: As PLS involves severe irreparable destruction of alveolar bone and tooth loss, both dental clinicians and dermatologists opinion is required for both initial and long term management of this disease followed by psychological counselling.
Background:
Computer-controlled local anesthetic delivery (CCLAD) is an approach that uses a constant and slow flow of delivering the anesthetic solution into the tissues, which is capable of alleviating pain and discomfort in children.
Aim:
Assessment of perceived pain in children during palatal anesthesia using Wand technique and conventional technique.
Materials and Methods:
A total of 30 children requiring bilateral palatal anesthesia were included in the study in a split-half design. The children were asked to indicate their intensity of pain response on a visual analog scale (VAS) after administration of anesthesia by the Wand technique and the conventional technique.
Statistical Analysis:
The data were analyzed using Statistical Package for the Social Sciences (SPSS) 16.0. Mann–Whitney
U
test compared the mean VAS scores between the two groups. Statistical significance was defined as a
P
value of less than 0.05.
Results:
The mean VAS scores using the Wand technique and the conventional technique were 3.87 ± 1.99 and 4.20 ± 1.44, respectively (
P
= 0.332). Females had lesser VAS scores compared to males (
P
= 0.008).
Conclusion:
Females readily accepted the Wand technique compared to males, although there was no substantial difference between the two injection procedures.
Background:
Due to the characteristics of dental practices and hospitals, all dental professionals, including orthodontists, are at an elevated peril of SARS-CoV-2 infection. If adequate safety actions are not taken, cross-contamination risk among dentists, orthodontists, and patients can be extremely high. For orthodontic patients, a high level of cognizance and consideration of the COVID-19 epidemic is required. The goal of this study was to assess adult patients' knowledge of the coronavirus disease 2019 (COVID-19) pandemic and its impact on their continuing fixed orthodontic treatment.
Methodology:
A cross-sectional in addition to a descriptive survey of 100 adult patients enduring fixed orthodontic treatment was done. All of the candidates were over the age of 18 years and were in lockdown due to the COVID-19 epidemic, with no therapy available.
Results:
Among the patients, 35% were male and 65% were female; 22.3% were unaware that the COVID-19 virus unfurls speedily in a dental setting; 64.8% were unquestionably keen to disclose their status and undertake pretreatment screening; 71.3% were undeniably prepared to stick to stringent appointment timings for passable sanitization of the clinical area; 70% believed that skipping appointments all through the COVID-19 pandemic would be costly; 70% believed that skipping appointments during the pandemic would prolong the treatment; and 59% thought of financial burden.
Conclusion:
COVID-19 cross-infection was not known to all adult orthodontic patients. The vast majority were aware of the situation and eager to follow infection-prevention guidelines. COVID-19 had a psychological and financial impact on patients' perceptions of overall orthodontic therapy.
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