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
Objective: The objectives of this study were to investigate various infection control methods and amenability with infection control procedures experienced by undergraduate dental students in their clinical years and house officers at Jinnah Medical and Dental College
Study Design: Observational / Descriptive / Cross-sectional study
Place and Duration of Study: This study was conducted in one of the private sector college, Jinnah Medical and Dental College in Karachi from 15[th] January 2016 to 20[th] February 2016
Materials and Methods: This study was carried out in one of the private sector college, Jinnah medical and dental college in Karachi. The study set comprised of 3[rd] and 4[th] year dental students and house officers [n=80]. A 24 item questionnaire was used to collect data related to knowledge about cross infection, barrier techniques, vaccination status, infection control practices and awareness. The questionnaire used was de-novo. It was distributed to all the students and house officers. The self-administered questionnaires were collected immediately after completion on the same day. The responses of the questionnaire were coded for data analysis. Results obtained from different individuals were analyzed using SPSS
Results: In this present study, majority of the students were well aware of cross infection in the first two years of medical/dental college studies whereas the remaining 20% came to know about it in their last two years. Regarding barrier techniques, it was found that [77%] students were well aware of all 4 components of PPE. When enquired whether the students were immunized against hepatitis B, 89% had an affirmative response. In our study there was a low prevalence of needlestick injury [30%]. This indicates that our students have substantial knowledge and understanding about handling of sharp objects and are adequately practicing them
Conclusion: The knowledge about cross infection in students was found to be adequate but application of prevention protocols need to be emphasized
ABSTRACT
The aims of the study were to describe the level of dental anxiety in a representative sample population. Experimental study.This study was conducted at the Fatima Jinnah Dental College, Karachi. The study was conducted 1[st] to 31[st] of March 2013. All patients coming to the dental OPD for different dental procedures during the month of March 2013 were included in the study. Study sample comprised of 213 patients 135 Females and 78 Males. The age of the patients ranged from 5 to 75 years. The study sample was divided into three groups: 1] 5-24 years 2] 25-39 years and 3] 40-75 years According to the performed dental procedures the sample was divided into two groups; 1] undergoing invasive procedures 2] undergoing non-invasive procedures Measurement of anxiety levels were recorded on the proforma using Norman Corah's anxiety scale data was entered on Microsoft Excel work sheet and was analyzed using SPSS 14. The results of this study showed women having higher DAS values as compared to men both in educated and non-educated strata regardless of the nature of the procedure being performed invasive or non-invasive. In the study 40% males and 25.5% females were relaxed when asked for their anxiety levels when visiting for a dental checkup and considered it as an enjoyable experience. 49.1% Males and 47.3% Females were relaxed waiting in the dental office. When asked regarding the noise of a drill 3.6% Males and 8.2% Females felt very anxious. For question relating to tooth cleaning and instrument preparation 5.5% Males and 8.2% Females were very anxious. This study has shown that educated individuals in both the genders have more anxiety as compared to uneducated individuals. Government funding should be directed towards awareness programs for population regarding dental treatments. Training of dental practitioners in patient counseling should be emphasized in the management of anxious patient
ABSTRACT
The objective of this study was to assess attitude towards oral and dental health during pregnancy and to examine their self-care practices in relation to oral and dental health. cross-sectional descriptive and analytical study. This study was conducted at the Jinnah Medical and Dental College, Karachi from January 2013 to September 2013. This was a cross-sectional descriptive and analytical study conducted at the Jinnah Medical and Dental College Karachi [JMDC]. The study group comprised of 118 pregnant women attending the Jinnah Medical and Dental College OPD from January 2013 to September 2013 using convenience sampling method. A 15 item questionnaire was used, after it was pre-tested and validated. The data entry was done by the house officers of JMDC. Statistical analysis was done using SPSS version 16. 65% of the total patients were found to have dental caries on overall intraoral examination out of these 52% patients had pain on percussion. 44% of the patients presented with gingivitis and bleeding on probing while 21% presented with clinical periodontitis with mobility. 22.8% of the pregnant women presented with gingival enlargements out of which 13.55% had localized while 9.3% had generalized gingival enlargements. 62% of the pregnant women said they brush twice daily while 27% brush once daily only 3% women said that they brush their teeth occasionally. None of them did flossing. Only 10% of the women had regular dental checkups after every six months. This study observed the oral health care practices of the pregnant women. The study highlighted the lack of awareness of maintenance of oral health. Intensive oral and dental health education in pregnancy can lead to improved oral and dental health, and ultimately safe pregnancy outcomes
ABSTRACT
Management of ameloblastoma has been controversial because of the unique biologic behavior of this neoplasm as a slow-growing, locally invasive tumor with a high rate of recurrence. Recurrence rates of ameloblastoma are reportedly as high as 15% to 25% after radical treatment and 75% to 90% after conservative treatment. With the advancement of craniofacial surgical techniques, use of free flaps for mandibular reconstruction, and dental rehabilitation [such as osseointegration] the surgical management of mandibular Ameloblastoma has become more convincing. The aim of this article is to evaluate the clinical results of the patients with mandibular ameloblastoma who were treated with segmental mandibulectomy and immediate reconstruction with free flaps. Ten patients with primary ameloblastoma treated at Oral and Maxillofacial Surgery Department of Liaquat National Hospital from 2006 to 2010 were included. The average age of the patients was 36.3 years [range, 24-54 years]. Clinical information radiographs OPG [Orthopantomogram] and CT Scans were obtained. All the tumors were located in the posterior region of the mandible and confirmative diagnosis was made on histopathological examination of the biopsy specimen. We present 10 patients of mandibular ameloblastoma who had segmental mandibulectomy and immediate reconstruction with fibula free flap preformed. The average age of the patients was 36.3 years [range, 24-54 years]. There were 8 male and 2 female patients. All presented with the multilocular radiolucency in the posterior mandible. The patients were followed for a mean period of 22.4 months [range, 12-36 months]. All flaps survived. Recurrence was not detected during the mean follow-up period of 22.4 months. It was noted that all patients had remarkable changes in their function and esthetics after immediate reconstruction. We experienced that segmental mandibulec-tomy with safe borders and immediate reconstruction with fibula free-flap is an ideal reconstruction method for mandibular ameloblastoma