ABSTRACT
The aim of our study is to assess the need for postoperative antibiotics following simple exodontia and determine its role in minimizing patient discomfort and postoperative complications. Methods: All the patients undergoing simple extractions were grouped into two categories: Group 1, patients receiving antibiotics, and Group 2, patients receiving no antibiotics. Patients were recalled on the sixth day to assess postoperative complications. On recall, patients were evaluated for signs of persistent inflammation and signs of dry socket. Presence of persistent inflammation and/or suppuration on the 6th day was considered as wound infection. Results: A total of 200 patients were included in this study. Out of the total sample, 185 (92.5%) presented with no postoperative complications and 15 (7.5%) had postoperative complications, out of which 12 (6%) patients presented with dry socket (alveolar osteitis), 5 (5%) in the antibiotic group and 7 (7%) in the non-antibiotic group. Only 3 patient (1.5%) was reported with infection of the extraction socket 1 in antibiotic group and 2 in the non-antibiotic group. Conclusion: Antibiotics are not required after simple extractions in patients who are not medically comprised nor do they have any role in preventing postoperative complications.
ABSTRACT
Dental fear is defined as the patient’s specific reaction towards stress related to dental treatment in which the stimulus is unknown. Aim of the study: To analyze the causative factor of fear during endodontic treatment. Methods: A simple random sampling technique was used for the study and a sample size of 141 patients with an age group of 12-65 years, attending outpatient the Department of Operative Dentistry. The survey done was based on 5 questionnaires before and during endodontic treatment. Results: The percentage of the females was 55% while the males were 45% of the patients attending dental office, 57% of the patients were found not afraid of attending dental office, 62% of the patients were found afraid of seeing the anesthetic needle, 59% of the patients were feeling pain during removal of pulp, 55% of the patients were found not afraid of sensation of file introduced in the canal, and 57% of the patients experienced unpleasant taste of endodontic materials. Conclusion: The present study concluded that seeing the anesthetic needle, feeling pain during removing the pulp and experiencing the unpleasant taste of endodontic materials were the most causative factors respectively for the fear of endodontic treatment.
ABSTRACT
To investigate and access the pattern of routine endodontic practice among the Dental practitioners in the Kashmir province. Methods: A survey was conducted in the form of a questionnaire and circulated among 334 dental practitioners through email. The response was collected, accumulated and analysed statistically. Results: A total of 178 (53%) dentists responded to the questionnaire that was emailed to them. 63% practitioners were males and only 37% were females. Only 10% of dental practitioners used isolation method as rubber dam. 56% of the dental practitioners were skilled in rotary endodontics. 70% of the practitioners used conventional ZOE sealer for obturation. Conclusion: Current qualitative endodontic guidelines in the established countries differ a lot as compared to the dental practise in this region. There is a shortage of endodontic equipments and materials in Government hospitals or public dental offices. Private dental offices are at much better positions. More of the innovations, latest concepts and techniques need to be incorporated into the dental practice of the dentists in Kashmir.