ABSTRACT
Objective: This study was conducted to evaluate the changes in blood pressure of hypertensive patients having dental extraction under a local anesthetic containing epinephrine
Study Design: Cross-sectional descriptive and analytical study
Place and Duration of Study: This study was carried out at Jinnah Medical and Dental College [JMDC[ from January 2015 to April 2015
Materials and Methods: The data was collected from the patients visiting the Oral Surgery OPD of Jinnah Medical and Dental Colleges, Karachi
The study was conducted at Jinnah Medical and Dental College to evaluate the changes in blood pressure of patient with a known history of hypertension controlled using medications. All the patients underwent uncomplicated dental extraction
The blood pressure was recorded at three times: before the local anesthesia, 3 minutes post local anesthesia, and 3 minutes post extraction. 2 % Lidocaine with adrenaline l:180,000was used for local anesthesia
Careful administration of anesthesia was ensured to avoid direct injection into the bloodstream. In majority of cases only 2 anesthetic ampules were used [only two patient required 3 ampules]
The data was stored in excel worksheet and was analyzed using SPSS
Results: The total sample size was 122 patients seen in the Oral and maxillofacial surgery department of JMDC
There were 52 females and 70 males. Mean age was 46.17 +/- 13.26 years [range 25-78]. The age was further divided into four groups; Group 1: 25-34, Group 2: 35-44, Group 3: 45-54, Group 4: 55 and above. There was no significant change in diastolic and systolic blood pressure blood pressure at three time points. Paired sample T test was used, the only significant difference was in SBP before [SBP1] and after anesthesia [SBP2] [t= -2.28 p=0.045]. No significant change noticed in the DBP values at DBP1, DBP2 and DBP3. Amongst the age group the significant variation in systolic blood pressure was seen in the age group 3 and 4
Conclusion: This study was conducted to find out the changes in blood pressure of patients with a known history of hypertension controlled using medications. The study showed no significant changes in the observed parameters
ABSTRACT
This article focuses on the mixed perceptions of the dentists in treating patients on blood thinners and the awareness amongst them regarding protocol and management of such patients. Cross-sectional descriptive and analytical study. This study was conducted at Jinnah Medical and Dental College from August 2013 to December 2013. The data was collected from three dental colleges of Karachi. The study was conducted at Jinnah Medical and Dental College. A 17-item questionnaire was used to collect the data. The data was collected from three dental colleges of Karachi to evaluate the dentist's perception and protocols put into practice related to patients on blood thinners. The study included 92 dentists. The data was stored in excel worksheet and was analyzed using SPSS. Amongst the 92 dental practitioners evaluated in the research 50% advised their patients to stop antiplatelet therapy prior to a dental procedure. 64.13% of the dentists where of the opinion that antiplatelet therapy be stopped before performing any treatment 94.56% of the dentists said they are aware of the reasons why patients are kept on anticoagulant drugs. Based on the data collected 67.39% of the dental practitioners delayed the treatment for patients taking blood thinners 95.65% referred the patients to their cardiologist prior to an invasive treatment. The optimal range of INR was known by 8478% of practitioners. Dental practitioners in this study population display a wide range of practice in their approach to patients on blood thinners. A trend towards overly conservative management is seen in the former. In contrast, the approach to the patients appeared to be haphazard, with about 20% of those never checking the INR pre-operatively. There is a clear need for greater awareness of an evidence-based approach to the dental management of this unique patient group to avoid unnecessary and preventable complications. There is an acute need for creating awareness and adherence to the new guidelines for safe and effective practice
ABSTRACT
A cross-sectional study was conducted at the Department of Oral and Maxillofacial Surgery of Fatima Jinnah Dental College, Karachi to find out the factors responsible for premature loss of deciduous molars in children aged three to nine years. All children aged 3 - 9 years visiting the Dental OPD of Fatima Jinnah Dental College Karachi for extraction of deciduous molars from Feb 2011 to Feb 2012 were included in the study. 256 children format the study group. The data were collected on a predesigned Proforma filled by a single operator. Parameters taken into consideration were age, sex, tooth brushing and reasons for extraction. In this study 176 were male and 80 female. Overall 368 deciduous molars were extracted, 237 deciduous molars were extracted in males and 131 in females. Among the investigated subjects, 17% of children reported no tooth-brushing. Caries was the commonest cause of premature loss of deciduous molars accounted for 96.1% followed by tooth fracture 2.3% and malocclusion 1.6%. The frequency of only one deciduous molar loss was 67.2%. Maximum deciduous molar loss 50.7% was observed in children aged 8 years. Most commonly extracted tooth was mandibular left first deciduous molar [37.7%]. Results of this study suggested that improper tooth-brushing dental caries and no-treatment of carious deciduous molars were major risk factors in its early loss