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: To evaluatethe post-operative morbidity associated with harvesting of iliac crest bone graft. Materials and Methods: This study was conducted in the Department of Oral and Maxillofacial Surgery, King Edward Medical University/Mayo Hospital, Lahore, from March 2010 to March2012; and at the Department of Oral & Maxillofacial Surgery, Fatima Memorial Hospital Lahore, from June 2012 to June 2017. After approval of the study was obtained from Institutional Review Board (IRB), informed consent of the patients was taken on customized proforma.A total of 36 patients were subjected to reconstruction of maxillofacial bony defects with 36 bone grafts harvested from anterior iliac crest; 20(55.56%) were male and 16 (44.44%) were female patients with mean age of 23 ± 10.31years (range 11-52 years). Results: At 3 months postoperatively, the pain score was noted as: 02 patients (5.5%) had score 1 and 34 patients (94.44%) had score 0. Only one patient (2.77%) had abnormality in gait. The donor site scars were assessed according to the patients’ satisfactory score whereby 24 patients (66.66%) had a score of 2; 04 patients (11.11%) had score 3 and 08 patients (22.22%) had score 1. While scar hypertrophy was seen in 2 patients (11.11%), wound dehiscence was seen in 1 patient (5.55%) only. Conclusion: Harvesting of bone graft from the anterior iliac crest is a safe and predictable surgical procedure for reconstruction of defects of oral and maxillofacial region with high patient tolerance, low morbidity and fewer complications.
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