Prevalence of chronic orofacial pain in a clinical sample

The aim of the study was to determine the prevalence of patients suffering from chronic orofacial pain but did not respond to any conventional therapy and therefore were referred to the Department of Oral Medicine, Khyber College of Dentistry, Peshawar. One hundred and eighty nine patients with overage age 39 years with persistent orofacial pain were recruited in this study. [135 females and 54 males]. The differential diagnosis was made on the basis of history, clinical examination and by applying the criteria laid down by International Association for the Diagnosis of Pain. Analysis showed the following results; Patients suffering from tempo mandibular disorders [TMD] 72[38%], trigeminal neuralgia [TN] 45 [23%], burning mouth syndrome 24[12.6%], atypical facial pain 18[9.5%] Dental pain 15[7.9%], tension type headache 6[3.17%], oro pharyngeal tumors 9[4.7%]. After diagnosis the patients showed relief from pain when appropriate treatment was provided except nine patients which were suffering from tumor

prevalence of orodental pain in peshawar - a study

The aim of this retrospective study was to assess the frequency of orodental pain and to determine various age groups and gender of the patients who visited various dental clinics in Peshawar, Pakistan. A cross sectional study on 3000 dental patients of age 15 to 75 years complaining of pain in orodental region during a period of one year [1st March 2008 to 28th February 2009] was carried out. The patients suffered from somatic [85.83%, 2575/3000], neuropathic [5.03%, 151/3000] and from psychogenic pain [9.13%, 274/3000]. The ratios of males to females in patients with somatic, neuropathic and psychogenic pain were calculated as 1025:1550 or 1:1.5, 76:75 or 1:1 and 99:175 or 1.7:1 respectively. The patients falling in somatic pain groups suffered from pulpal pain [1901/3000, 63.36%], periodontal [379/3000, 12.63%], mucogingival [85/3000, 2.83%], TMJ [95/3000, 3.16%], post extraction [33/3000, 1.10%], erupting teeth [55/3000, 1.83%] and others [27/3000, 0.90%]. The group falling in category of others included pain from alveolitis, cellulitis, osteomylitis, bruxism, odontogenic cysts, cracked tooth syndrome and maxillary sinusitis. Most of the patients consulted for somatic pain. Females with psychogenic and males with somatic pain were dominant. The most prominent age group complaining of orodental pain was 56-65 years [660/3000, 22%] followed by 36-45 years [650/3000, 21.66%]. Patients with pulpal pain were the most frequent followed by periodontal pain

Effect of prophylactic amoxicillin on endodontic flare-up in teeth with asymptomatic, necrotic pulps and periradicular pathosis

The objective of this study was to compare the effect of prophylactic amoxicillin used and placebo in preventing endodontic flare-up in teeth with asymptomatic necrotic pulp and periradicular pathosis undergoing root canal treatment. The Quasi experimental study on 125 patients formed the study groups which was conducted at the Department of Operative Dentistry of Khyber College of Dentistry, Peshawar over a period of 10 months [10-09-2009 to 15-8-2010]. Patients were randomly divided in to two groups; experimental and control groups by selecting convenient sampling. Internationally recommended doses of prophylactic amoxicillin were given to patients in experimental group and placebo in control group one hour before the start of endodontic treatment. On the first visit complete biomechanical preparation was accomplished. Access cavity was sealed with zinc oxide eugenol. Five patients [4%] developed flare-up in experimental and six [4.80%] in control groups. The results demonstrated that 11/125 or 8.80% patients had developed flare-up. Data analysis revealed no significant differences between flare-up and non- flare- up patients for age, sex and tooth location. Prophylactic amoxicillin did not decrease frequency of the occurrence of flareup significantly [P = .33]. Experimental and control groups measured by flare-up index showed almost similar results

Oral health related knowledge, attitude and practices among patients - a study

Objective of this study was to investigate oral health-related knowledge, attitude, and practices of patients visiting Khyber College of Dentistry, Peshawar, Pakistan. Five hundred and thirty patients in the college setting were approached, through second year students of Khyber College of Dentistry and self-reported questionnaires were filled. This study was conducted from September 2008 to August 2009. Response rate was 100%. Completely filled questionnaires were analyzed. Eighty six percent subjects brushed their teeth, and 12.1% showed twice a day frequency; 30% of male and 21.4% female patients changed brushes after 6 months period.81.3% had visited a dentist. Only 19.6% patients were smokers. Rich people were better in their oral health knowledge, attitude, and practices which were associated with education and socio-economic status

Causes of endodontic treatment failure - a study

The aim of this study was to determine different causes of endodontic treatment failure in patients who approached the Department of Operative Dentistry, Khyber College of Dentistry, Peshawar, for re-treatment. This study was carried out from December 2009 to February 2010 and included seventy five patients of both genders with different post endodontic treatment complaints. Clinical and radio-graphic examination was used to confirm treatment failure. The most common clinical symptoms were tenderness, tenderness and pain, or swelling [72%, 29.3% and 22.7% respectively]. The common causes of endodontic treatment failure were poorly filled [40%], under filled [34.7%] and no root canal filling [17.3%]. Root canal failure due to overfilling was 5.3%. Most of these failed cases were either treated by internees [House officers] in the teaching institutes [34.7%] or general dental practitioners [57.3%]

Replacements of amalgam restorations - a study

The aim of this study was to register various reasons for replacement or repair of amalgam restorations of patients visiting a dental institution hospital in Peshawar, Pakistan, and to compare the results of the present study with the international studies carried out on this subject. A cross sectional study on 123 patients, aged 10-60 years, visiting for the replacement or repair of their 210 amalgam restorations was carried out over a period of 10 months. These patients were examined clinically and radiographically to find out the reasons of the failed amalgam restorations which needed replacement or repair while the teeth were still vital and restorable. In 123 patients, 210 amalgam restorations were examined. Seven reasons were found responsible for replacement or repair of restorations; Secondary caries [37.61%], marginal degradation [22.38%], dislodgment of fillings [20.47%], poor anatomy restored [14.76%], fracture of filling's material [11.42%], macroleakage gap [5.71%] and fracture of teeth [3.80%] were found in 210 restorations. The failed restorations with single reason [85.72%] and combined reasons [14.28%] were also assessed in this study. Secondary caries was the most prevalent reason for replacement or repair, followed by marginal degradation. The results also showed that the failed restorations with one reason were dominant over the restorations with multiple reasons in this study