ABSTRACT
This review aimed to assess and compare the outcomes of the anesthetic efficacy of inferior alveolar nerve block (IANB) and Gow-Gates mandibular nerve block (GGMNB) in patients with symptomatic irreversible pulpitis. A descriptive systematic review of quantitative research was conducted wherein the “Preferred Reporting Items for Systematic Reviews (PRISMA)” was adopted, and the Problem/Patient/Population, Intervention/ Indicator, Comparison, Outcome (PICO) criteria were used to structure the research question. A literature search was performed using PubMed/Medline, Cochrane Library, Google Scholar, and Ovid. Selection criteria were applied for populations over nine years of age, of either sex, with irreversible pulpitis, and articles published in English regarding conventional IANB or IANB and Gow-Gates techniques between 2009 and 2019. Prospective randomized clinical trials or randomized controlled trials were included in the review, in which anesthetic efficacy or success was measured. After screening, four articles were included. Three studies were randomized clinical trials, and two were randomized controlled trials. The validity and reliability of the individual studies were examined.There was evidence of the higher efficacy of the GGMNB technique than that of the IANB technique. However, both techniques can be mastered through training.
ABSTRACT
This review aimed to assess and compare the outcomes of the anesthetic efficacy of inferior alveolar nerve block (IANB) and Gow-Gates mandibular nerve block (GGMNB) in patients with symptomatic irreversible pulpitis. A descriptive systematic review of quantitative research was conducted wherein the “Preferred Reporting Items for Systematic Reviews (PRISMA)” was adopted, and the Problem/Patient/Population, Intervention/ Indicator, Comparison, Outcome (PICO) criteria were used to structure the research question. A literature search was performed using PubMed/Medline, Cochrane Library, Google Scholar, and Ovid. Selection criteria were applied for populations over nine years of age, of either sex, with irreversible pulpitis, and articles published in English regarding conventional IANB or IANB and Gow-Gates techniques between 2009 and 2019. Prospective randomized clinical trials or randomized controlled trials were included in the review, in which anesthetic efficacy or success was measured. After screening, four articles were included. Three studies were randomized clinical trials, and two were randomized controlled trials. The validity and reliability of the individual studies were examined.There was evidence of the higher efficacy of the GGMNB technique than that of the IANB technique. However, both techniques can be mastered through training.
ABSTRACT
Cleidocranial dyspalsia is a rare congenital skeletal disorder, associated with hypoplasia or aplasia of clavicles, delayed closure of cranial sutures and fontanels, frontoparietal bossing, delayed exfoliation of primary dentition, delayed or failure of eruption of permanent teeth, and presence of multiple supernumerary teeth. The disorder is caused by mutation in the CBFA1 gene, on the short arm of chromosome 6p21. Estimated prevalence ofcleidocranial dysplasia is one per million, without gender or ethnic predilection. A multidisciplinary approach is often required for dental management of multiple supernumerary teeth. We report clinical and radiographic presentation and surgical management of multiple supernumerary teeth in an 11-year-old child with cleidocranial dysplasia.
Subject(s)
Humans , Female , Child , Cranial Fontanelles , Cranial Sutures , Tooth, Supernumerary , PrevalenceABSTRACT
The aim of the study was to determine the most common causes of root canal failure in patients who reported to the operative department of AFID [Armed forces institute of dentistry] for retreatment. This was a cross sectional study carried out at the operative department of ARID Rawalpindi from January 2011 to December 2012. Among 200 patients included in the study, 112 [56%] were male and 88[44%] were female with mean age of 31.24 years [SD +/- 10.1]. In the present study the most common cause of root canal failure was found to be underfilled [42%] followed by poor lateral condensation [22%] and unfilled / untreated [20%], overfilled [6%], fractured instruments [4%] and inadequate coronal restorations [3%]. The patients presented with different symptoms The most common symptom being the tenderness [74%] followed by pain [20%], swelling [15%], loss of restoration [13%], sinus formation [6%], mobility [4%], fractured crown [4%] and split tooth [1%]
ABSTRACT
The aim of the present study was to evaluate tooth-brushing technique and oral hygiene knowledge in Rawalpindi population. This study was a single centre, descriptive study which was carried out at the Department of Operative Dentistry, AFID, Rawalpindi from January 2010 to January 2011. 500 individuals fulfilling the inclusion criteria were included in the study. They were asked about their tooth brushing technique and oral hygiene knowledge using a questionnaire. The data obtained were analyzed using Statistical Package for Social Sciences [SPSS] version 15. Out of 500 adult participants, 140 [28%] were females and 360 [72%] males. 425 [85%] brushed their teeth regularly, 87% twice a day, 10% once a day and only 3% thrice a day. The study subjects demonstrated the brushing technique in front of the researcher. The result showed that only 4% knew proper technique. Only 7% used the brush for 2 minutes, 67% for one minute and 36% for less than one minute. 45% used fluoride tooth pastes and 24% which did not contain fluoride. 31% did not know about fluoride. The overall awareness about oral hygiene knowledge was not satisfactory
ABSTRACT
Diabetes Mellitus [DM], the commonest endocrine disorder is associated with 2-4 times increased risk of coronary artery disease and other macro and microvascular complications in the body. Oral diseases are also more common in diabetics as compared to normoglycemic individuals. The aim of this study was to gather baseline information on knowledge, attitude, and practices of diabetic patients regarding their oral health with the view of enhancing dental health education for them, which will help in updating their knowledge about the diasese and its associated systemic and various oral complications. This study was a cross sectional descriptive survey of 300 diabetic patients visiting the Operative Department of Armed Foreces Institute Of Dentistry Rawalpindi, Pakistan from January 2010 to January 2011. Out of total 300 patients 195 [65%] were males and 105 [35%] were females. 36 [12%] were suffering from Type 1 Diabetes Mellitus and 264 [88%] were suffering from Type 2 Diabetes Mellitus. 64% of the patients had knowledge about the oral complications of diabetes. 35% of this group knew about this issue from their treating physicians and 65% from dentists. 13% did not know that diabetes predisposed them to oral disease, and 23% denied any existence of a link between diabetes and oral health. The level of awareness end dental health knowledge in diabetic patients are good in our army set up which is comparable to previous studies carried out locally and abroad but it still needs to be improved by health education