[Evaluation of restorative treatment need in dental services: Based on community needs Running title: Evaluation of restorative treatment need in dental services]

Background: The first and most important step in planning for any system is need assessment and with identifying the most important needs, is a basis for setting goals and appropriate context for organizing other elements. This study aimed to evaluate of restorative treatment need in dental services and was done based on community needs.

Materials and Methods: This was a descriptive-cross sectional study and data gathering was done by an objective form that confirmed its validity. Restorative dental services of 1027 visited patients with non-randomized judgment sampling consecutive during three months at summer in 2012 in Isfahan Farhangian dental clinic was noted on forms and entered into statistical software SPSS [version 17] and results reported. Chi-square test was used for data analyzing. Significant level P <0.05 was considered.

Results: Most of the patients were female [65%]. Restoration of posterior teeth, including 78.5% of total services and most patients' needs for restorative services based on number of teeth were amalgam [67.4%] and least was glass ionomer [0.5%]. Amalgam and composite build up restorations had high proportion in restorative services [42%].

Conclusion: Totally women referring to dentist is more than men and more patients have more than one restorative dentistry need. High prevalence of need to build up restoration means that many caries in the population are at high level, it seems that low level of oral hygiene and neglect and lack of access to have visit, are its reasons.

Acute renal failure due to copper sulfate poisoning; a case report

Copper sulfate is a blue and odorless salt with various industrial, chemical, agricultural and medicinal applications. Copper sulfate poisoning is rare in children. A 23-month old boy accidentally ingested a solution of copper sulfate, used as a disinfectant agent in animal husbandry. He was referred to Children's Hospital of Tabriz because of frequent vomiting and lethargy. The major systemic complications were intravascular hemolysis, anemia and acute renal failure. The patient was successfully treated with multiple packed cell transfusions, dimercaprol, penicillamine and peritoneal dialysis. Plasma copper level 15 days after ingestion was 216 micro g/dl. Copper sulfate is a highly toxic agent that, when ingested, can cause local and systemic damage including coma, shock, severe intravascular hemolysis, hepatotoxicity and acute renal failure with high mortality