ABSTRACT
The purpose of this study was to evaluate and compare the efficacy of chlorhexidine [CHX] and amoxicillin plus clavulanic acid combination with control and Chlorhexidine CHX rinse alone for prevention of alveolar ostitis following the extraction of mandibular third molar. This clinical double blind randomized control trial was carried out in the Department of Oral and Maxillofacial Surgery at Liaquat University Hospital, Hyderabad for a period of two years from February 2008 to December 2009. A total of 214 patients were included in the study using non- probability purposive sampling technique. Informed consent was taken for participation in study and all treatment options, risks, benefits and complications were discussed before any intervention. The study was approved by university ethical review committee. All the patients were randomly divided into three groups by using random number table. After written informed consent extraction of 3[rd] mandibular molar was performed. Group 1 rinsed with 15 ml of 0.2% Chlorhexidine solution for 30 seconds twice daily for seven days. Group 2 patients in addition to 0.2% Chlorhexidine solution were prescribed Augmentin [amoxicillin trihydrate 500 mg plus, clavulanic acid [125 mg]] twice daily for 7 days. The patients of Group 3 used normal saline solution [0.09% NaCl]. Patients were scheduled on third and seventh day postoperatively for postoperative follow-up and were evaluated for the presence or absence of alveolar osteitis. The diagnosis of alveolar osteitis was made on the basis of collaborative clinical and subjective findings. The results of this study showed significant reduction in the incidence of alveolar osteitis in patients who received 0.2% CHX rinse in combination with oral amoxicillin and clavulanic acid
ABSTRACT
In dentistry, crown fracture [CF] is a constant source of concern, hence in order to recommend suitable preventive measures it is essential to recognize its etiological factors beside its frequency and characteristics. The purpose of this study is to identify causative factors and treatment needs of Crown Fracture among school going children. This study was conducted from October 2010 to December 2010 to record the cause of dental trauma in relation to age and gender of school going children in rural areas of Sind province. The population in this study was 9-18 years old attending primary and higher secondary school students studying in 9 public and 4 private schools in district Khairpur. Crown Fracture ranging from normal crown to fractured crown involving pulp was observed. Root fracture was not recorded as no radiographs were taken, trauma reasons were asked and treatment taken or not was recorded. SPSS version 16 was used to analyze the available qualitative variables for results. Chi square test was used for testing the statistical differences between cause of crown fractures in relation to gender and age. Most common cause of coronal trauma was recorded as fall followed by road traffic accident, assault and sports related injury 51.3%, 15.7%, 13.1% and 6.5% respectively. Risk factors of CF almost identical as cited in dental literature by majority of authors